TRI-COUNTY AMBULANCE SERVICE, INC. (NPI# 1467459909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467459909 |
Entity Type | Organization |
Organization Name | TRI-COUNTY AMBULANCE SERVICE, INC. |
Practice Address |
7000 Spinach Dr Mentor OH 44060-4958 |
Practice Telephone | 4409514600 |
Practice Fax Number | 4409749202 |
Mailing Telephone | 4409514600 |
Mailing Fax Number | 4409749202 |
Enumeration Date | 2005-06-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | KEVIN A. FARRELL (PRESIDENT/CEO) |
Authorized Official Telephone | 4409514600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
430092 | OH | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | EVERCARE | 81-00108 | 01 |
OH | ANTHEM | 000000155614 | 01 |
OH | 0596725 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376541342 | Tri-county Ambulance Service, Inc. | Ambulance | 615 Nelsons Pkwy, Wakarusa, IN 46573-9580 | 2005-07-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | TRI-COUNTY AMBULANCE SERVICE, INC. | 615 Nelsons Parkway, Wakaursa, IN 46573 |
Street Address |
7000 SPINACH DR |
City | MENTOR |
State | OH |
Zip Code | 44060-4958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
Find all providers in zip 44060 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.