Organization
QUICKRIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FIDEL PENTECOSTES (OWNER)
(907) 250-5902
Entity
Organization
Contact information
Practice address
2701 WESLEYAN DR, ANCHORAGE, AK 99508-3771
(907) 250-5902
(907) 338-0423
Mailing address
2701 WESLEYAN DR, ANCHORAGE, AK 99508-3771
(907) 250-5902
(907) 338-0423
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
951343
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COS 83
—
AK
Enumeration date
12/16/2011
Last updated
12/16/2011
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