Provider Demographics
NPI:1467859603
Name:D.R. MEDICAL RIDES LLC
Entity type:Organization
Organization Name:D.R. MEDICAL RIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-279-7984
Mailing Address - Street 1:221 KINGS LYNN RD STE C
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-4638
Mailing Address - Country:US
Mailing Address - Phone:608-279-7984
Mailing Address - Fax:
Practice Address - Street 1:221 KINGS LYNN RD STE C
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-4638
Practice Address - Country:US
Practice Address - Phone:608-279-7984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DMR GLOBAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)