Provider Demographics
NPI:1770229387
Name:845 RIDE LLC
Entity Type:Organization
Organization Name:845 RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COGSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-600-4100
Mailing Address - Street 1:2537 ROUTE 52 STE 1
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3236
Mailing Address - Country:US
Mailing Address - Phone:845-600-4400
Mailing Address - Fax:
Practice Address - Street 1:2537 ROUTE 52 STE 1
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-3236
Practice Address - Country:US
Practice Address - Phone:845-600-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company