Provider Demographics
NPI:1982054631
Name:LEMHI RIDE
Entity type:Organization
Organization Name:LEMHI RIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORSHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-756-1875
Mailing Address - Street 1:803 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SALMON
Mailing Address - State:ID
Mailing Address - Zip Code:83467-5036
Mailing Address - Country:US
Mailing Address - Phone:208-756-1875
Mailing Address - Fax:
Practice Address - Street 1:803 MONROE ST
Practice Address - Street 2:
Practice Address - City:SALMON
Practice Address - State:ID
Practice Address - Zip Code:83467-5036
Practice Address - Country:US
Practice Address - Phone:208-756-1875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEMHI COUNTY ECONOMIC DEVELOPMENT ASSOC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID343900000X343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)