Organization
MEDRIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY V FROLOVA (OWNER)
(913) 230-4872
Entity
Organization
Contact information
Practice address
9001 W 77TH ST, OVERLAND PARK, KS 66204-2532
(913) 230-4872
Mailing address
9001 W 77TH ST, OVERLAND PARK, KS 66204-2532
(913) 230-4872
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
170060
KS
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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