MEDICARE: RIDE24 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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1558110304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDE24 LLC

Provider Business Mailing Address
First Line	:	2034 EISENHOWER AVE STE 140
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5378
Country	:	US
Telephone Number	:	877-900-9695
Fax Number	:	877-841-2559

Provider Business Practice Location Address
First Line	:	2034 EISENHOWER AVE STE 140
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5378
Country	:	US
Telephone Number	:	877-900-9695
Fax Number	:	877-841-2559

Authorized Official
Title or Position	:	MD
Name	:	LUCY EVANS
Credential	:
Telephone Number	:	877-900-9695

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	04/27/2026

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Directions to “RIDE24 LLC ” Practice Location

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