Organization
MEDI-RIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEVAEH WHITE (MEMBER)
(480) 859-5355
Entity
Organization
Contact information
Practice address
1521 E PONCHO LN, SAN TAN VALLEY, AZ 85143-3221
(480) 859-5355
Mailing address
3515 W CLARENDON AVE, UNIT 112, PHOENIX, AZ 85019
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
05/07/2025
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