Provider Demographics
NPI:1275306276
Name:RIDE IN MEDICAL SERVICE LLC.
Entity Type:Organization
Organization Name:RIDE IN MEDICAL SERVICE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KING
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-820-7988
Mailing Address - Street 1:4694 GLENDAS MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-0418
Mailing Address - Country:US
Mailing Address - Phone:904-820-7988
Mailing Address - Fax:
Practice Address - Street 1:4694 GLENDAS MEADOW DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-0418
Practice Address - Country:US
Practice Address - Phone:904-820-7988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)