Provider Demographics
NPI:1851735203
Name:MAXRIDE INC
Entity Type:Organization
Organization Name:MAXRIDE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-601-0208
Mailing Address - Street 1:96 FREDERICK ST
Mailing Address - Street 2:UNIT 60
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3437
Mailing Address - Country:US
Mailing Address - Phone:978-601-0208
Mailing Address - Fax:781-652-9650
Practice Address - Street 1:96 FREDERICK ST
Practice Address - Street 2:UNIT 60
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3437
Practice Address - Country:US
Practice Address - Phone:978-601-0208
Practice Address - Fax:781-652-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-27
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA02211343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)