Organization
MIDWEST MEDICAL RIDES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELY GRELL (OFFICE MANAGER)
(515) 302-4761
Entity
Organization
Contact information
Practice address
1253 N 25TH ST, FORT DODGE, IA 50501-2110
(515) 302-4761
Mailing address
728 1ST AVE N STE 9, FORT DODGE, IA 50501-3804
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124753
—
IA
Enumeration date
08/16/2023
Last updated
08/16/2023
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