Tri Town Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3129 Issued in NY

Legal business name

TRI TOWN AMBULANCE SERVICE INC

Practice address

8935 Ridge Rd
Gasport, NY 14067-9413

Phone

(585) 768-2192

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Howard Mericle

Title

President

Phone

(585) 768-2192

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1073589941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704",
            "telephone_number": "585-768-2192",
            "fax_number": "585-768-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8935 RIDGE RD",
            "city": "GASPORT",
            "state": "NY",
            "postal_code": "140679413",
            "telephone_number": "585-768-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI TOWN AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "MERICLE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-768-2192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "3129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS WESTERN NY",
            "identifier": "5860061",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01372590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa M Schwab
• Heather Megan Slowey
• Howard Smith, PA
• Mark Stahl, PHARM. D
• Tbi Services, LLC
• Village Park Healthcare Center, Inc.
• Cchristine Velie Wilcox, LLPN
• William J Martell
• Amy Susan Wolter

• Land Ambulance in Gasport, NY
• Providers in Gasport, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.