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MIDWEST RIDESOURCE LLC NPI 1396493938


NPI Information

NPI: 1396493938
Provider Name: MIDWEST RIDESOURCE LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1951 STATE HWY 65
NEW RICHMOND, WI
ZIP 54017
Phone: (715) 796-7433
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MIDWEST RIDESOURCE LLC is a non emergency medical transport van in New Richmond, WI. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. MIDWEST RIDESOURCE LLC NPI is 1396493938. The provider is registered as an organization entity type.

The provider's business location address is:

1951 STATE HWY 65
NEW RICHMOND, WI
ZIP 54017
Phone: (715) 796-7433

The provider's authorized official is William Icard .
The authorized official title is Owner and has the following contact phone number (715) 607-0392.

The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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