Active NPI
East Brady Area Ambulance Service Inc
- Ambulance
- East Brady, PA
National Provider Identifier
1366566465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 16013
- Legal business name
- EAST BRADY AREA AMBULANCE SERVICE INC
- Practice address
- 426 Kellys Way
East Brady, PA 16028-0325 - Phone
- (724) 526-5065
- Fax
- (724) 526-3532
- NPI assigned
- Mar 16, 2007
- Last updated
- Aug 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roxan M Ryan
- Title
- Coo
- Phone
- (724) 526-5065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 16013 | PA | Primary |
Addresses
Primary practice location
426 Kellys Way
East Brady, PA 16028-0325
Mailing address
PO Box 325
426 Kellys Way
East Brady, PA 16028-0325
Phone (724) 526-5065
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1038097 | Other | PA | GATEWAY |
| 0007936520003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130109000350 | PA | Part B Supplier - Ambulance Service Supplier | 2264685908 | Practice locations: East Brady, PA |
National Provider Directory
National Provider Directory- Tax ID family
- E Brady Area Amb Serv
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- East Brady, PA
- NPI 1033572144
-
- Basic Emergency Medical Technician
- East Brady, PA
- NPI 1942283965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1366566465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 325",
"address_2": "426 KELLYS WAY",
"city": "EAST BRADY",
"state": "PA",
"postal_code": "160280325",
"telephone_number": "724-526-5065",
"fax_number": "724-526-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 KELLYS WAY",
"city": "EAST BRADY",
"state": "PA",
"postal_code": "160280325",
"telephone_number": "724-526-5065",
"fax_number": "724-526-3532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST BRADY AREA AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "ROXAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "724-526-5065",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "16013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1038097",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007936520003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Brady, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.