Provider Demographics
NPI:1801651294
Name:INTEGRITY RIDE LLC
Entity type:Organization
Organization Name:INTEGRITY RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MARMON
Authorized Official - Last Name:TEAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-481-6153
Mailing Address - Street 1:1041 HUMPHREY AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-5845
Mailing Address - Country:US
Mailing Address - Phone:573-481-6153
Mailing Address - Fax:
Practice Address - Street 1:1041 HUMPHREY AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-5845
Practice Address - Country:US
Practice Address - Phone:573-481-6153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)