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Organization

RICK WILSON MEDIRIDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICK D WILSON (OWNER-OPERATOR)
(620) 289-4616
Entity
Organization

Contact information

Practice address
RR 1 BOX 234B, CANEY, KS 67333-9691
(620) 289-4616
Mailing address
RR 1 BOX 234B, CANEY, KS 67333-9691
(620) 289-4616

Taxonomy

Speciality
Code
Description
License number
State
347B00000X
Bus
XLM488
KS
347C00000X
Private Vehicle
61510
KS
347C00000X
Private Vehicle
UMV953
KS
347C00000X
Private Vehicle
VFJ718
KS
347C00000X
Private Vehicle
VKD486
KS
347C00000X
Private Vehicle
WQO283
KS
347C00000X
Private Vehicle
WXZ714
KS
347C00000X
Private Vehicle
XBX214
KS
347C00000X
Private Vehicle
XLM675
KS
347C00000X
Private Vehicle
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100420430A
KS
Enumeration date
03/10/2007
Last updated
06/25/2008
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