Provider Demographics
NPI:1780113043
Name:URIDE TRANSPORTATION
Entity type:Organization
Organization Name:URIDE TRANSPORTATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARISKEDAR
Authorized Official - Middle Name:NIGATU
Authorized Official - Last Name:YEMANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-297-9795
Mailing Address - Street 1:2804 N IH 35
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3403
Mailing Address - Country:US
Mailing Address - Phone:512-297-9795
Mailing Address - Fax:
Practice Address - Street 1:2804 N IH 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-297-9795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)