Provider Demographics
NPI:1710762380
Name:SAMI RIDE LLC
Entity Type:Organization
Organization Name:SAMI RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KASIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-545-2748
Mailing Address - Street 1:3770 W 24TH ST APT F13
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4115
Mailing Address - Country:US
Mailing Address - Phone:970-545-2748
Mailing Address - Fax:
Practice Address - Street 1:410 E RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3330
Practice Address - Country:US
Practice Address - Phone:970-545-2748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)