Organization
RIDE EXPRESS 1
Active
Organization
RIDE EXPRESS 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MUHAMMAD (OWNER)
(260) 348-1838
Entity
Organization
Contact information
Practice address
1817 BLACK BEAR DR, FORT WAYNE, IN 46808-3512
(260) 348-1838
(260) 459-1782
Mailing address
1817 BLACK BEAR DR, FORT WAYNE, IN 46808-3512
(260) 348-1838
(260) 459-1782
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
IN
Other
Enumeration date
07/12/2009
Last updated
07/12/2009
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