Provider Demographics
NPI:1801936505
Name:RELIABLE AMBULANCE TRANSPORT SERVICE,LLC
Entity type:Organization
Organization Name:RELIABLE AMBULANCE TRANSPORT SERVICE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:1800-926-4574
Mailing Address - Street 1:2 PINECREST RD
Mailing Address - Street 2:P.O. BOX 5083
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1223
Mailing Address - Country:US
Mailing Address - Phone:800-926-4574
Mailing Address - Fax:
Practice Address - Street 1:2 PINECREST RD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-1223
Practice Address - Country:US
Practice Address - Phone:800-926-4574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPENDING341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance