Organization
MEDRIDE LLC
Active
Other names
VirginiaMediride
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MARIE WILLIAMS (OWNER)
(757) 696-6629
Entity
Organization
Contact information
Practice address
315 POPLAR AVE, NEWPORT NEWS, VA 23607-4940
(800) 827-5809
(800) 827-5809
Mailing address
315 POPLAR AVE, NEWPORT NEWS, VA 23607-4940
(800) 827-5809
(800) 827-5809
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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