Medi-Ride, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

529853 Issued in IN

Legal business name

MEDI-RIDE, INC.

Practice address

1414 W Mulberry St
Salem, IN 47167-9434

Phone

(812) 883-6500

Fax

(812) 896-1900

NPI assigned

Apr 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James P. Moore

Title

President

Phone

(812) 883-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1184687519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471670311",
            "telephone_number": "812-883-6500",
            "fax_number": "812-896-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W MULBERRY ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679434",
            "telephone_number": "812-883-6500",
            "fax_number": "812-896-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-RIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-883-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "529853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095030 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cauble Marshall, R.PH.
• Martin F Kennedy DDS PC
• Breanna Tyler Martin, NP
• Lindsee Martinez
• Danielle McIntyre
• Mid America Clinical Laboratories, LLC
• Damien Miller
• Deirdre Jean Miller, CADAC II
• Stacy Lee Miller, PT
• Tyler Mills

• Non-emergency Medical Transport (VAN) in Salem, IN
• Providers in Salem, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.