MEDICARE: CURB RYDE, 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	:	1073274734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURB RYDE, LLC

Provider Business Mailing Address
First Line	:	2817 ANTHONY LN S STE 103
Second Line	:
City	:	ST ANTHONY
State	:	MN
Zip	:	55418-2489
Country	:	US
Telephone Number	:	800-686-9817
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ANTHONY LN S STE 103
Second Line	:
City	:	ST ANTHONY
State	:	MN
Zip	:	55418-2489
Country	:	US
Telephone Number	:	800-686-9817
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MOHAMED MOHAMED
Credential	:
Telephone Number	:	612-701-2731

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	01/05/2022

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Directions to “CURB RYDE, LLC ” Practice Location

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