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Contact Information

RICK WILSON MEDIRIDE
RR 1 BOX 234B
CANEY, KS67333-9691
 Phone: 620-289-4616
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
 

Bus

347B00000X
Indicates primary specialty

NPI Profile & details for RICK WILSON MEDIRIDE

NPI Number 1548392046
LBN Legal business name RICK WILSON MEDIRIDE
Authorized official RICK WILSON - (OWNER-OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2007
Last updated 06/25/2008 - About 18 years ago
Identifiers
KS License # 61510
KS License # UMV953
KS License # VFJ718
KS License # VKD486
KS License # WQO283
KS License # WXZ714
KS License # XBX214
KS License # XLM488
KS License # XLM675
KS Medicaid 100420430A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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