Provider Demographics
NPI:1750825683
Name:FRIENDLY RIDE TRANSPORTATION
Entity Type:Organization
Organization Name:FRIENDLY RIDE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-455-2739
Mailing Address - Street 1:17 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-1931
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:413-285-7680
Practice Address - Street 1:17 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-1931
Practice Address - Country:US
Practice Address - Phone:413-455-2739
Practice Address - Fax:413-285-7680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)