Provider Demographics
NPI:1801430319
Name:AMERIRYDE
Entity type:Organization
Organization Name:AMERIRYDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-501-1122
Mailing Address - Street 1:PO BOX 7869
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-7869
Mailing Address - Country:US
Mailing Address - Phone:405-213-0657
Mailing Address - Fax:
Practice Address - Street 1:508 NW 157TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1062
Practice Address - Country:US
Practice Address - Phone:405-213-0657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERITASK MEDICAL SPECIALTIES OF OKLAHOMA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)