Organization
MED RIDE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAHED KAMAL IKBARIEH (OWNER)
(731) 431-1684
Entity
Organization
Contact information
Practice address
21 OLD HICKORY BLVD, JACKSON, TN 38305
(731) 431-1684
Mailing address
15 WIND TREE CV, JACKSON, TN 38305-2974
(731) 431-1684
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
04/08/2024
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