Provider Demographics
NPI:1447965785
Name:RIDECARE TRANSPORT CORP
Entity type:Organization
Organization Name:RIDECARE TRANSPORT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-527-3628
Mailing Address - Street 1:N112W17083 VISTA CT STE 17G
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-5807
Mailing Address - Country:US
Mailing Address - Phone:262-527-3628
Mailing Address - Fax:
Practice Address - Street 1:N112W17083 VISTA CT STE 17G
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-5807
Practice Address - Country:US
Practice Address - Phone:262-527-3628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)