COHESIVE MEDIRYDE NPI 1932661568

NPI Information

NPI: 1932661568
Provider Name: COHESIVE MEDIRYDE

Doing Business As: COHESIVE MEDIRYDE

Classification: Driver - 172A00000X
Entity Type: Organization

Address:
1616 S STATE ST
EDMOND, OK
ZIP 73013
Phone: (405) 395-4474
Get Directions

COHESIVE MEDIRYDE is a driver in Edmond, OK. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. COHESIVE MEDIRYDE NPI is 1932661568. The provider is registered as an organization entity type.
The provider Is Doing Business As Cohesive Mediryde.

The provider's business location address is:

1616 S STATE ST
EDMOND, OK
ZIP 73013-600
Phone: (405) 395-4474

The provider's authorized official is Bobby Zeigler .
The authorized official title is Credentialing Operations and has the following contact phone number (918) 902-0460.

The CLIA number assigned to this NPI record is 37D2146627 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 5/24/2019.

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
1	343900000X	Non-emergency Medical Transport (VAN)				No
2	172A00000X	Driver				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	200828770A	MEDICAID	OKLAHOMA

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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