Provider Demographics
NPI:1417730672
Name:MEDI RIDE SOLUTIONS
Entity Type:Organization
Organization Name:MEDI RIDE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-801-6633
Mailing Address - Street 1:3616 MALLORCA CT
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8173
Mailing Address - Country:US
Mailing Address - Phone:916-801-6633
Mailing Address - Fax:
Practice Address - Street 1:3616 MALLORCA CT
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8173
Practice Address - Country:US
Practice Address - Phone:916-801-6633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)