Rick Wilson Mediride

LBN: Rick Wilson Mediride
Rick Wilson Mediride is an health care organization with primary practice located at Rr 1 Box 234B , Caney KS 67333-9691. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Bus, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is the primary health care specialty. Rick Wilson Mediride can be contacted via phone (620) 289-4616, or through Wilson, Rick D via phone (620) 289-4616.

Contact Information

Primary practice address
Rr 1 Box 234B Caney KS 67333-9691
Phone: (620) 289-4616
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Rick D
Phone: (620) 289-4616

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Bus 347B00000X XLM488 Kansas
Transportation Services / Private Vehicle 347C00000X XBX214 Kansas
Transportation Services / Private Vehicle 347C00000X WXZ714 Kansas
Transportation Services / Private Vehicle 347C00000X WQO283 Kansas
Transportation Services / Private Vehicle 347C00000X XLM675 Kansas
Transportation Services / Private Vehicle 347C00000X UMV953 Kansas
Transportation Services / Private Vehicle 347C00000X VFJ718 Kansas
Transportation Services / Private Vehicle 347C00000X VKD486 Kansas
Transportation Services / Private Vehicle 347C00000X 61510 Kansas
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1548392046
LBN Legal business name Rick Wilson Mediride
DBA Doing business as
Authorized official Wilson, Rick D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2007
Last updated Jun 25th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548392046 NPPES
Kansas MEDICAID 100420430A

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