Organization
MIDWEST RIDESOURCE LLC
Active
Other names
Midwest Ridesource LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ICARD JR. (OWNER)
(715) 607-0392
Entity
Organization
Contact information
Practice address
1951 STATE HWY 65, NEW RICHMOND, WI 54017
(715) 796-7433
Mailing address
1951 STATE HWY 65, NEW RICHMOND, WI 54017
(715) 796-7433
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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