Quickride LLC

Primary specialty

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

License

951343 Issued in AK

Legal business name

QUICKRIDE LLC

Practice address

2701 Wesleyan Dr
Anchorage, AK 99508-3771

Phone

(907) 250-5902

Fax

(907) 338-0423

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Fidel Pentecostes

Title

Owner

Phone

(907) 250-5902

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1508135765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WESLEYAN DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083771",
            "telephone_number": "907-250-5902",
            "fax_number": "907-338-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 WESLEYAN DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083771",
            "telephone_number": "907-250-5902",
            "fax_number": "907-338-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKRIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "PENTECOSTES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FIDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-250-5902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AK",
            "license": "951343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Non-emergency Medical Transport (VAN) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.