Organization
MEDI-RIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P. MOORE (PRESIDENT)
(812) 883-6500
Entity
Organization
Contact information
Practice address
1414 W MULBERRY ST, SALEM, IN 47167-9434
(812) 883-6500
(812) 896-1900
Mailing address
PO BOX 311, SALEM, IN 47167-0311
(812) 883-6500
(812) 896-1900
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
529853
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095030 A
—
IN
Enumeration date
04/07/2006
Last updated
06/26/2008
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