Provider Demographics
NPI:1033397039
Name:HEALTH RIDE PLUS, INC.
Entity Type:Organization
Organization Name:HEALTH RIDE PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIRARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TIBBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-948-6510
Mailing Address - Street 1:406 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-1005
Mailing Address - Country:US
Mailing Address - Phone:814-948-6510
Mailing Address - Fax:814-948-4821
Practice Address - Street 1:406 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714-1005
Practice Address - Country:US
Practice Address - Phone:814-948-6510
Practice Address - Fax:814-948-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033903416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016797880002Medicaid
PA0016797880003Medicaid
PA0016797880004Medicaid
PA0016797880003Medicaid