Organization Active NPI

Maxime & Co.

  • Non-emergency Medical Transport (VAN)
  • Fargo, ND
National Provider Identifier
1710423868
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MAXIME & CO.
Practice address
313 Broadway N
Fargo, ND 58102-4714
Phone
(701) 781-0510
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luis Pedro Gil Agostinho
Title
President
Phone
(701) 781-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

313 Broadway N
Fargo, ND 58102-4714

Mailing address

313 Broadway N
Fargo, ND 58102-4714
Phone (701) 781-0510

National Provider Directory

National Provider Directory

Locations

313 Broadway N
Fargo, ND 58102
Phone (701) 781-0510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1710423868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024714",
            "telephone_number": "701-781-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024714",
            "telephone_number": "701-781-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIME & CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "GIL AGOSTINHO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-781-0510"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.