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NPI Code Detail

MEDICARE: QUALITY MEDICAL RIDES LLC

MEDICARE: QUALITY MEDICAL RIDES 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
1343900000XNon-emergency Medical Transport (VAN)WI

General Provider Information

NPI Number : 1407297559
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY MEDICAL RIDES LLC
Provider Business Mailing Address
First Line : 2907 VANG RD
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-9238
Country : US
Telephone Number : 608-630-6068
Fax Number :
Provider Business Practice Location Address
First Line : 2907 VANG RD
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590
Country : US
Telephone Number : 608-630-6068
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. PENG VANG
Credential :
Telephone Number : 608-630-6068
Provider Enumeration Date : 07/17/2013
Last Update Date : 07/17/2013

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Directions to “QUALITY MEDICAL RIDES LLC ” Practice Location

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