Healthcare Provider Details

I. General information

NPI: 1720906332
Provider Name (Legal Business Name): VERN'S RIDE SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 PLAINVIEW LN
ALBERT LEA MN
56007-1982
US

IV. Provider business mailing address

1117 PLAINVIEW LN
ALBERT LEA MN
56007-1982
US

V. Phone/Fax

Practice location:
  • Phone: 507-320-8690
  • Fax:
Mailing address:
  • Phone: 507-320-8690
  • 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
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MRS. WENDY LOUISE BOCK
Title or Position: CO-OWNER
Credential:
Phone: 507-320-8690