Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOOMER RIDE
Active OrganizationBOOMER RIDE is a Private Vehicle organization located in HASTINGS, Minnesota. NPI 1194121210 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · HASTINGS, MN
Registration Details
- NPI Number
- 1194121210
- Provider Type
- Organization
- NPI Issued
- Nov 17, 2014 (11.753512351337 yrs)
- Last Updated
- Nov 17, 2014
- License
-
C893012006120 (MN)
Practice Information
- Address
-
724 5TH ST W APT BHASTINGS, MN, 550331745Browse MN providers · Browse ZIP 55033
- Phone
- 6512630189
- Primary Specialty
-
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.