RICK WILSON MEDIRIDE NPI 1548392046

NPI Information

NPI: 1548392046
Provider Name: RICK WILSON MEDIRIDE
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
RR 1 BOX 234B
CANEY, KS
ZIP 67333
Phone: (620) 289-4616
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RICK WILSON MEDIRIDE is a private vehicle in Caney, KS. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. RICK WILSON MEDIRIDE NPI is 1548392046. The provider is registered as an organization entity type.

The provider's business location address is:

RR 1 BOX 234B
CANEY, KS
ZIP 67333-691
Phone: (620) 289-4616

The provider's authorized official is Rick D Wilson .
The authorized official title is Owner-operator and has the following contact phone number (620) 289-4616.

The enumeration date for this NPI number is 3/10/2007 and was last updated on 6/25/2008.

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	License Number	License State	Primary
1	347C00000X	Private Vehicle	XBX214	KANSAS	No
2	347C00000X	Private Vehicle	WXZ714	KANSAS	No
3	347C00000X	Private Vehicle	WQO283	KANSAS	No
4	347C00000X	Private Vehicle	XLM675	KANSAS	No
5	347C00000X	Private Vehicle	UMV953	KANSAS	No
6	347C00000X	Private Vehicle	VFJ718	KANSAS	No
7	347B00000X	Bus	XLM488	KANSAS	No
8	347C00000X	Private Vehicle	VKD486	KANSAS	No
9	347C00000X	Private Vehicle	61510	KANSAS	No
10	347C00000X	Private Vehicle			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100420430A	MEDICAID	KANSAS

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: 11/14/2023

NPI Synchronization or Removal

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