MEDICARE: R & L RIDE SERVICE

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)		MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	167945	OTHER	MN	SPECIAL TRANSPORTATION
3	8G539RA	OTHER	MN	SPECIAL TRANSPORTATION

General Provider Information

NPI Number	:	1679620371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R & L RIDE SERVICE

Provider Business Mailing Address
First Line	:	26128 340TH ST SE
Second Line	:
City	:	MCINTOSH
State	:	MN
Zip	:	56556-9410
Country	:	US
Telephone Number	:	800-630-6889
Fax Number	:	218-563-2047

Provider Business Practice Location Address
First Line	:	26128 340TH ST SE
Second Line	:
City	:	MCINTOSH
State	:	MN
Zip	:	56556-9410
Country	:	US
Telephone Number	:	800-630-6889
Fax Number	:	218-563-2047

Authorized Official
Title or Position	:	OWNER PARTNER
Name	:	MR. RUDY JULE FINSETH
Credential	:
Telephone Number	:	800-630-6889

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/22/2020

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Directions to “R & L RIDE SERVICE ” Practice Location

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