Provider Demographics
NPI:1851859094
Name:RUBY MEDICAL TRANSIT SERVICES LLC
Entity Type:Organization
Organization Name:RUBY MEDICAL TRANSIT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-587-2202
Mailing Address - Street 1:N1994 COUNTY ROAD T
Mailing Address - Street 2:
Mailing Address - City:ENDEAVOR
Mailing Address - State:WI
Mailing Address - Zip Code:53930-9613
Mailing Address - Country:US
Mailing Address - Phone:608-587-2202
Mailing Address - Fax:888-210-9777
Practice Address - Street 1:103 S INDUSTRIAL LN
Practice Address - Street 2:
Practice Address - City:ENDEAVOR
Practice Address - State:WI
Practice Address - Zip Code:53930-9709
Practice Address - Country:US
Practice Address - Phone:608-587-2202
Practice Address - Fax:888-210-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)