Organization
INDY RIDE TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY WILSON (PRESIDENT)
(317) 207-0309
Entity
Organization
Contact information
Practice address
3202 W 34TH ST, INDIANAPOLIS, IN 46222-1811
(317) 207-0309
Mailing address
3202 W 34TH ST, INDIANAPOLIS, IN 46222-1811
(317) 207-0309
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
83109
IN
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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