Organization Active NPI

Tri-Star Medical Transport, Inc.

  • Land Ambulance
  • Raleigh, NC
National Provider Identifier
1104817089
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1550 Issued in NC
Legal business name
TRI-STAR MEDICAL TRANSPORT, INC.
Practice address
2820 Trawick Rd
Raleigh, NC 27604-3757
Phone
(919) 878-1661
Fax
(919) 878-0415
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Laura Kuhr
Title
President
Phone
(919) 878-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1550 NC Primary

Addresses

Primary practice location

2820 Trawick Rd
Raleigh, NC 27604-3757

Mailing address

2820 Trawick Rd
Raleigh, NC 27604-3757
Phone (919) 878-1661

Other identifiers 3

IdentifierTypeStateIssuer
590014169OtherNCRAILROAD MEDICARE
0728KOtherNCBCBS
3406774MedicaidNC

National Provider Directory

National Provider Directory

Locations

2820 Trawick Rd
Raleigh, NC 27604
Phone (919) 878-1661

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1104817089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 TRAWICK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043757",
            "telephone_number": "919-878-1661",
            "fax_number": "919-878-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 TRAWICK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043757",
            "telephone_number": "919-878-1661",
            "fax_number": "919-878-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STAR MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "KUHR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-878-1661"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014169",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0728K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406774",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.