Provider Demographics
NPI:1407408495
Name:PEACE OF MIND MEDICAL RIDES
Entity type:Organization
Organization Name:PEACE OF MIND MEDICAL RIDES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:BRAMBILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-466-7675
Mailing Address - Street 1:9653 BERYL DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-4445
Mailing Address - Country:US
Mailing Address - Phone:719-466-7675
Mailing Address - Fax:
Practice Address - Street 1:9653 BERYL DR
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-4445
Practice Address - Country:US
Practice Address - Phone:719-314-5527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty