Provider Demographics
NPI:1316606353
Name:HEALTH RIDE INC
Entity type:Organization
Organization Name:HEALTH RIDE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:EAGLE
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-442-5020
Mailing Address - Street 1:1299 ARCADE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-2080
Mailing Address - Country:US
Mailing Address - Phone:763-732-0118
Mailing Address - Fax:763-732-0117
Practice Address - Street 1:500 MARKET STREET
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:MN
Practice Address - Zip Code:56044
Practice Address - Country:US
Practice Address - Phone:763-732-0118
Practice Address - Fax:763-732-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)