MEDICARE: MEDRIDE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	3416L0300X	Land Ambulance
3	341600000X	Ambulance

General Provider Information

NPI Number	:	1386739779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDRIDE CORPORATION

Provider Business Mailing Address
First Line	:	4225 SW 44TH STREET
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-2855
Country	:	US
Telephone Number	:	405-685-8267
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 SW 44TH STREET
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-2855
Country	:	US
Telephone Number	:	405-685-8267
Fax Number	:

Authorized Official
Title or Position	:	GM
Name	:	DAVID BATSON
Credential	:
Telephone Number	:	405-219-3601

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/07/2010

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Directions to “MEDRIDE CORPORATION ” Practice Location

Language	Start Address	Practice Location

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