Provider Demographics
NPI:1902596042
Name:NILE MEDICAL RIDER LLC
Entity Type:Organization
Organization Name:NILE MEDICAL RIDER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:NGETH
Authorized Official - Last Name:NHIANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-785-9349
Mailing Address - Street 1:41 DUNBARTON RD # 1
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-2502
Mailing Address - Country:US
Mailing Address - Phone:603-785-9349
Mailing Address - Fax:
Practice Address - Street 1:41 DUNBARTON RD # 1
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-2502
Practice Address - Country:US
Practice Address - Phone:603-785-9349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)