Provider Demographics
NPI:1487277877
Name:GOUNIVERSAL LLC
Entity type:Organization
Organization Name:GOUNIVERSAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-428-2255
Mailing Address - Street 1:2011 LOVETT AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6738
Mailing Address - Country:US
Mailing Address - Phone:701-428-2255
Mailing Address - Fax:701-222-3911
Practice Address - Street 1:2011 LOVETT AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6738
Practice Address - Country:US
Practice Address - Phone:701-428-2255
Practice Address - Fax:701-222-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies