Provider Demographics
NPI:1972882645
Name:DOC RIDES
Entity Type:Organization
Organization Name:DOC RIDES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:931-210-0244
Mailing Address - Street 1:153 HICKORY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-4785
Mailing Address - Country:US
Mailing Address - Phone:931-210-0244
Mailing Address - Fax:
Practice Address - Street 1:153 HICKORY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4785
Practice Address - Country:US
Practice Address - Phone:931-210-0244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0579956343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)