Provider Demographics
NPI:1407298847
Name:RIDE RITE MEDI VAN INC.
Entity Type:Organization
Organization Name:RIDE RITE MEDI VAN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICCO
Authorized Official - Middle Name:
Authorized Official - Last Name:CICCOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-668-5122
Mailing Address - Street 1:160 STATE RD E
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1230
Mailing Address - Country:US
Mailing Address - Phone:978-668-5122
Mailing Address - Fax:978-668-5154
Practice Address - Street 1:160 STATE RD E
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1230
Practice Address - Country:US
Practice Address - Phone:978-668-5122
Practice Address - Fax:978-668-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA00000000343900000X
MA000000000347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus