Ridgway Ambulance Corporation

Primary specialty

AmbulanceTaxonomy code 341600000X

License

03347 Issued in PA

Legal business name

RIDGWAY AMBULANCE CORPORATION

Practice address

301 N Broad St
Ridgway, PA 15853-2103

Phone

(814) 773-3633

Fax

(814) 772-1001

NPI assigned

Nov 17, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Louis Marnatti, NREMT-PARAMEDIC

Title

Manager

Phone

(814) 773-3633

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1194707992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N BROAD ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158532103",
            "telephone_number": "814-773-3633",
            "fax_number": "814-772-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BROAD ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158532103",
            "telephone_number": "814-773-3633",
            "fax_number": "814-772-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGWAY AMBULANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "MARNATTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-773-3633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590420110",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0447765",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006999550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Porco, DMD
• Medapally P Reddy, M.D.
• Paul Zachary Rees, DMD
• Alyse Renwick
• Restful Nights Sleep Center
• Ridgway Area School District
• Rite Aid of Pennsylvania LLC
• Shauna Marie Scutella, PHMNP
• Alissa Rose Shelander
• Joseph Edward Sherry, LCSW

• Ambulance in Ridgway, PA
• Providers in Ridgway, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.