Provider Demographics
NPI:1033359773
Name:RELIABLE AMBULETTE SERVICES LLC
Entity type:Organization
Organization Name:RELIABLE AMBULETTE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-544-1074
Mailing Address - Street 1:1634 CENTRAL PARKWAY
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202
Mailing Address - Country:US
Mailing Address - Phone:513-362-2741
Mailing Address - Fax:866-654-0571
Practice Address - Street 1:1634 CENTRAL PKWY
Practice Address - Street 2:SUITE 111
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-6904
Practice Address - Country:US
Practice Address - Phone:513-362-2741
Practice Address - Fax:866-654-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRU050081343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)