Organization
MOUNTAINEER RIDE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE EDWARD WISE (EXECUTIVE DIRECTOR)
(304) 266-5228
Entity
Organization
Contact information
Practice address
207 N LEWIS ST, GLENVILLE, WV 26351-1224
(304) 266-5228
(304) 266-5228
Mailing address
3524 US HIGHWAY 33 E, GLENVILLE, WV 26351-7078
(304) 266-5228
(304) 266-5228
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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