# MEDIRIDE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487626891
- **Authorized official:** MR. DAVID GUIZZETTI (PRESIDENT/CEO)
- **Authorized official phone:** (906) 226-4565

## Contact information

- **Practice address:** 701 N 4TH ST, MARQUETTE, MI 49855-3406
- **Practice address phone:** (906) 226-4565
- **Mailing address:** PO BOX 987, MARQUETTE, MI 49855-0987
- **Mailing address phone:** (906) 226-4565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 521002 | MI | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 08/02/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00083572 | RAILROAD MEDICARE | MI |