Provider Demographics
NPI:1093373680
Name:MED-RIDE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MED-RIDE TRANSPORTATION LLC
Other - Org Name:MED-RIDE TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-622-8992
Mailing Address - Street 1:1601 BETHEL RD #210
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3306
Mailing Address - Country:US
Mailing Address - Phone:614-817-1573
Mailing Address - Fax:
Practice Address - Street 1:1601 BETHEL RD #210
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-4322
Practice Address - Country:US
Practice Address - Phone:614-622-8992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4331497Medicaid