Provider Demographics
NPI:1679620371
Name:R & L RIDE SERVICE
Entity Type:Organization
Organization Name:R & L RIDE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUDY
Authorized Official - Middle Name:JULE
Authorized Official - Last Name:FINSETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-630-6889
Mailing Address - Street 1:26128 340TH ST SE
Mailing Address - Street 2:
Mailing Address - City:MCINTOSH
Mailing Address - State:MN
Mailing Address - Zip Code:56556-9410
Mailing Address - Country:US
Mailing Address - Phone:800-630-6889
Mailing Address - Fax:218-563-2047
Practice Address - Street 1:26128 340TH ST SE
Practice Address - Street 2:
Practice Address - City:MCINTOSH
Practice Address - State:MN
Practice Address - Zip Code:56556-9410
Practice Address - Country:US
Practice Address - Phone:800-630-6889
Practice Address - Fax:218-563-2047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3613682001Medicaid
MN167945OtherSPECIAL TRANSPORTATION
MN8G539RAOtherSPECIAL TRANSPORTATION