Provider Demographics
NPI:1710762968
Name:SMART RIDE LLC
Entity Type:Organization
Organization Name:SMART RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SYMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-562-4500
Mailing Address - Street 1:PO BOX 16
Mailing Address - Street 2:
Mailing Address - City:WEST PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03468-0016
Mailing Address - Country:US
Mailing Address - Phone:603-562-4500
Mailing Address - Fax:603-825-5338
Practice Address - Street 1:103 ROXBURY ST STE 200B
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-8802
Practice Address - Country:US
Practice Address - Phone:603-562-4500
Practice Address - Fax:603-825-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)