Provider Demographics
NPI:1043303852
Name:RYDERTY, INC
Entity Type:Organization
Organization Name:RYDERTY, INC
Other - Org Name:BAILEY'S TRANSPORTATION SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-766-7425
Mailing Address - Street 1:4721 WIMBLEDON DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-9301
Mailing Address - Country:US
Mailing Address - Phone:785-766-7425
Mailing Address - Fax:785-865-0044
Practice Address - Street 1:4721 WIMBLEDON DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-9301
Practice Address - Country:US
Practice Address - Phone:785-766-7425
Practice Address - Fax:785-865-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100429090AMedicaid