Provider Demographics
NPI:1124536610
Name:RIIDE MINNEAPOLIS, INC
Entity Type:Organization
Organization Name:RIIDE MINNEAPOLIS, INC
Other - Org Name:RED & WHITE TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEPPALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-333-0918
Mailing Address - Street 1:4808 PARK GLEN RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5702
Mailing Address - Country:US
Mailing Address - Phone:612-333-0918
Mailing Address - Fax:
Practice Address - Street 1:4808 PARK GLEN RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5702
Practice Address - Country:US
Practice Address - Phone:612-333-0918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIIDE MINNEAPOLIS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)