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Rick Wilson Mediride
Private Vehicle in Caney, Kansas
NPI 1548392046

Rick Wilson Mediride is a Private Vehicle based in Caney, KS. Rick Wilson Mediride practices in Caney, KS. The NPI Number for Rick Wilson Mediride is 1548392046 and holds a License No. XLM488 (Kansas).

The current practice location address for Rick Wilson Mediride is Rr 1 Box 234B, Caney, KS and can be reached out via phone at 620-289-4616.

Location: Rr 1 Box 234B, Caney, KS, 67333-9691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548392046
Provider Name
Rick Wilson Mediride
Credential
Provider Entity Type
Organization
Address
Rr 1 Box 234B, Caney, KS, 67333-9691
Phone Number
620-289-4616
Fax Number
Provider Enumeration Date
03/10/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100420430A 05 KS
institution
Provider Business Practice Location Address Details
Address
Rr 1 Box 234B
City
Caney
State
Kansas
Zip
67333-9691
Phone Number
620-289-4616
Fax Number
person
Provider Business Mailing Address Details
Address
Rr 1 Box 234B
City
Caney
State
Kansas
Zip
67333-9691
Phone Number
620-289-4616
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Bus
Speciality
-
Taxonomy
347B00000X
License No.
XBX214 (Kansas)
Definition
A public or private organization or business licensed to provide bus services.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
XLM488 (Kansas)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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