Healthcare Provider Details

I. General information

NPI: 1982144192
Provider Name (Legal Business Name): FRAN'S AFFORDABLE RIDES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 03/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3190 NW LANCASTER LN #33
MOUNTAIN HOME ID
83647-5778
US

IV. Provider business mailing address

3190 NW LANCASTER LN #33
MOUNTAIN HOME ID
83647-5778
US

V. Phone/Fax

Practice location:
  • Phone: 208-409-8526
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: FRANCES HAMMONS
Title or Position: OWNER
Credential:
Phone: 208-409-8526