Provider Demographics
NPI:1447004627
Name:EM RIDE TRANSPORTATION LLC
Entity type:Organization
Organization Name:EM RIDE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ETASLON
Authorized Official - Middle Name:KABURA
Authorized Official - Last Name:MATTHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-223-0146
Mailing Address - Street 1:503 SW SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-8339
Mailing Address - Country:US
Mailing Address - Phone:641-223-0146
Mailing Address - Fax:
Practice Address - Street 1:503 SW SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-8339
Practice Address - Country:US
Practice Address - Phone:641-223-0146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)