Provider Demographics
NPI:1669356135
Name:RIDE VA MEDICAL TRANSPORT SERVICES OF VIRGINIA LLC
Entity type:Organization
Organization Name:RIDE VA MEDICAL TRANSPORT SERVICES OF VIRGINIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEREBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-478-1081
Mailing Address - Street 1:2007 LAYCOCK LN UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-4153
Mailing Address - Country:US
Mailing Address - Phone:757-478-1081
Mailing Address - Fax:
Practice Address - Street 1:2007 LAYCOCK LN UNIT 101
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-4153
Practice Address - Country:US
Practice Address - Phone:757-478-1081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)