Provider Demographics
NPI:1508905282
Name:RYAN BROS AMBULANCE INC
Entity Type:Organization
Organization Name:RYAN BROS AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-240-0171
Mailing Address - Street 1:922 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1834
Mailing Address - Country:US
Mailing Address - Phone:608-257-9591
Mailing Address - Fax:608-257-9594
Practice Address - Street 1:922 S PARK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1834
Practice Address - Country:US
Practice Address - Phone:608-257-9591
Practice Address - Fax:608-257-9594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41320600Medicaid
WI000081388Medicare ID - Type Unspecified