Provider Demographics
NPI:1437694510
Name:MEDI-RIDE L.L.C.
Entity Type:Organization
Organization Name:MEDI-RIDE L.L.C.
Other - Org Name:MEDI-RIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ISAIAH
Authorized Official - Last Name:ELDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-566-9046
Mailing Address - Street 1:527 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-2950
Mailing Address - Country:US
Mailing Address - Phone:434-566-9046
Mailing Address - Fax:
Practice Address - Street 1:527 CARTER RD
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:VA
Practice Address - Zip Code:23093-2950
Practice Address - Country:US
Practice Address - Phone:434-566-9046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)