TRI- CREEK AMBULANCE SERVICE AGENCY INC (NPI# 1760605224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760605224 |
| Entity Type | Organization |
| Organization Name | TRI- CREEK AMBULANCE SERVICE AGENCY INC |
| Practice Address |
1331 E Commercial Ave Lowell IN 46356-2168 |
| Mailing Address |
Po Box 36 Lowell IN 46356-0036 |
| Practice Telephone | 2196968610 |
| Mailing Telephone | 2196968610 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | MRS. MARCIA J. NIEMEYER (TREASURER) |
| Authorized Official Telephone | 2196968610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0195 | IN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PALMETTO | 590164481 | 01 |
| IN | 100281600A | 05 |
| Street Address |
1331 E COMMERCIAL AVE |
| City | LOWELL |
| State | IN |
| Zip Code | 46356-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134618333 | Heartland Behavioral Health Inc | Psychologist | 2068 Lucas Pkwy Ste 3, Lowell, IN 46356 | 2018-05-03 |
| 1902310956 | Rhonda Sue Courtright | Social Worker | 2068 Lucas Parkway, Lowell, IN 46356 | 2017-11-29 |
| 1508140120 | Kelley Campbell | Pharmacist | 1704 E. Commercial Ave, Lowell, IN 46356 | 2011-09-30 |
| 1235298514 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 710 Michigan Ave, Lowell, IN 46356 | 2006-12-06 |
| 1285708115 | Nicholas Kouri | Dentist | 308 E Commercial Ave, Lowell, IN 46356 | 2006-11-20 |
| 1770537045 | Casey H Walker | Chiropractor | 2072 E Commercial Ave Ste B, Lowell, IN 46356 | 2006-05-20 |
| 1336452655 | Jennifer Lynn Johnson | Optometrist | 117 Deanna Dr, Lowell, IN 46356 | 2010-07-15 |
| 1467427658 | Denise Vanhorssen | Social Worker | 2068 Lucas Pkwy, Lowell, IN 46356 | 2006-02-21 |
| 1750634531 | Jill Irene Maddack | Nurse Practitioner | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2012-10-18 |
| 1629475546 | Justyna E Pomiotlo | General Practice | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2014-11-20 |
| Find all providers in zip 46356 | ||||
| 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.