Organization
INDIANA MEDICAL RIDE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRENA N KING (OWNER)
(317) 473-9591
Entity
Organization
Contact information
Practice address
6312 SUMMERSHADE DR, PORTAGE, IN 46368-0107
(317) 473-9591
Mailing address
6312 SUMMERSHADE DR, PORTAGE, IN 46368-0107
(317) 473-9591
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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