MEDICARE: JUNIPER RIDE COMPANY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1184566549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNIPER RIDE COMPANY LLC

Provider Business Mailing Address
First Line	:	30 N GOULD ST STE N
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	307-620-7550
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 E 11TH ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-3809
Country	:	US
Telephone Number	:	307-620-7550
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SYDNEY WHITTINGTON
Credential	:
Telephone Number	:	307-620-7550

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “JUNIPER RIDE COMPANY LLC ” Practice Location

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