MEDICARE: BEST RIDE 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)

General Provider Information

NPI Number	:	1053030379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST RIDE LLC

Provider Business Mailing Address
First Line	:	3055 OLD HIGHWAY 8 STE 211
Second Line	:
City	:	ST ANTHONY
State	:	MN
Zip	:	55418-2492
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 OLD HIGHWAY 8 STE 211
Second Line	:
City	:	ST ANTHONY
State	:	MN
Zip	:	55418-2492
Country	:	US
Telephone Number	:	612-220-0365
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MARYAN ALI
Credential	:
Telephone Number	:	612-220-0365

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	09/06/2022

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Directions to “BEST RIDE LLC ” Practice Location

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