Organization · Type 2 NPI

Boomer Ride

Private Vehicle · Hastings, MN

NPI number 1194121210 Active

Practice location

724 5th St W Apt B
Hastings, MN 55033-1745

Call (651) 263-0189 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XC893012006120 (MN)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1194121210

Boomer Ride's National Provider Identifier is 1194121210, issued on Nov 17, 2014. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Hastings, MN. The record was last updated on Nov 17, 2014.