Health Ride Van, LLC

Primary specialty

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

License

198222 Issued in MN

Legal business name

HEALTH RIDE VAN, LLC

Practice address

1240 Washington Ave
Detroit Lakes, MN 56501-3906

Phone

(218) 847-0817

Fax

(218) 847-0842

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Nate Meyer

Title

Chief Financial Office

Phone

(218) 847-5611

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487765541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565021410",
            "telephone_number": "218-847-0817",
            "fax_number": "218-847-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 WASHINGTON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013906",
            "telephone_number": "218-847-0817",
            "fax_number": "218-847-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH RIDE VAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICE",
        "authorized_official_telephone_number": "218-847-5611"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "198222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "81-20881",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51792",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "9G009MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor David Haugrud
• Jan Renae Haugrud, MSW, LICSW
• Candace Louise Haugtvedt, RPH, MS, PHD
• Alex Hauke, PHARMD
• Rachel Hauke
• Joseph M Heinz, DPT
• Sarah Leann Helm
• Paul L Hendrickson, MD
• Shanna Lee Hendrickson, FNP
• William C Henke, MD

• Non-emergency Medical Transport (VAN) in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.