MEDICARE: HEALTH RIDE VAN, 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)	198222	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81-20881	OTHER	MN	MEDICA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9G009MA	OTHER	MN	BCBS OF MINNESOTA

General Provider Information

NPI Number	:	1487765541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH RIDE VAN, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1410
Second Line	:
City	:	DETROIT LAKES
State	:	MN
Zip	:	56502-1410
Country	:	US
Telephone Number	:	218-847-0817
Fax Number	:	218-847-0842

Provider Business Practice Location Address
First Line	:	1240 WASHINGTON AVE
Second Line	:
City	:	DETROIT LAKES
State	:	MN
Zip	:	56501-3906
Country	:	US
Telephone Number	:	218-847-0817
Fax Number	:	218-847-0842

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICE
Name	:	NATE MEYER
Credential	:
Telephone Number	:	218-847-5611

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1578508198 — SANFORD MEDICAL CENTER FARGO
Practice Location Address:

1234 WASHINGTON AVE STE B
DETROIT LAKES, MN
56501-3906

Practice Phone: 218-846-2200
Practice Fax: 218-846-2201

1164517348 — MORRISON EYE CARE OPTOMETRISTS, P.A.
Practice Location Address:

1244 WASHINGTON AVE
DETROIT LAKES, MN
56501-3906

Practice Phone: 218-847-2020
Practice Fax: 218-847-6165

1124184403 — SANFORD MEDICAL CENTER FARGO
Practice Location Address:

1234 WASHINGTON AVE STE A
DETROIT LAKES, MN
56501-3906

Practice Phone: 218-846-2000
Practice Fax: 701-234-2045

1316074875 — JOHNSON NATURAL HEALTH CARE PA
Practice Location Address:

1208 WASHINGTON AVE
DETROIT LAKES, MN
56501-3906

Practice Phone: 218-847-2809
Practice Fax:

1689873275 — BRENDAN S KELLY O.D.
Practice Location Address:

1234 WASHINGTON AVE STE A
DETROIT LAKES, MN
56501-3906

Practice Phone: 218-846-2258
Practice Fax:

1679760219 — DR. JAY W JOHNSON D.C.
Practice Location Address:

1208 WASHINGTON AVE
DETROIT LAKES, MN
56501-3906

Practice Phone: 218-847-2809
Practice Fax:

Directions to “HEALTH RIDE VAN, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.