Boomer Ride

LBN: Boomer Ride
Boomer Ride is an health care organization with primary practice located at 724 5Th St W Apt B , Hastings MN 55033-1745. The organization recently has only one registered license in Transportation Services / Private Vehicle, which is considered as the primary health care specialty. Boomer Ride can be contacted via phone (651) 263-0189, or through Howard, Leslie Dean via phone (651) 263-0189.

Contact Information

Primary practice address
724 5Th St W Apt B Hastings MN 55033-1745
Phone: (651) 263-0189
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Howard, Leslie Dean
Phone: (651) 263-0189

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X C893012006120 Minnesota

Profile Details

NPI number 1194121210
LBN Legal business name Boomer Ride
DBA Doing business as
Authorized official Howard, Leslie Dean
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2014
Last updated Nov 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers