Rick Wilson Mediride

NPI #1548392046 in Caney, Kansas

Provider Information

NPI Number: 1548392046
Entity Type: Organization
Organization Name: Rick Wilson Mediride
Primary Specialty: Private Vehicle
Enumeration Date: Mar 10, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: RR 1 BOX 234B
City: Caney
State: Kansas
ZIP Code: 67333-9691
Phone: (620) 289-4616

Authorized Official

Name: RICK D WILSON
Title: OWNER-OPERATOR
Phone: (620) 289-4616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary
Bus	347B00000X

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