Healthcare Provider Details

I. General information

NPI: 1073424933
Provider Name (Legal Business Name): MRFETCHIT'S RIDES AND DELIVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S VIRGINIA AVE
MARION IL
62959-3253
US

IV. Provider business mailing address

801 S VIRGINIA AVE
MARION IL
62959-3253
US

V. Phone/Fax

Practice location:
  • Phone: 618-944-7399
  • Fax:
Mailing address:
  • Phone: 618-944-7399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: BRIAN EUGENE SMITH
Title or Position: OWNER
Credential:
Phone: 618-944-7399