Tri Town Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06052 Issued in PA

Legal business name

TRI TOWN AMBULANCE ASSOCIATION

Practice address

810 State Route 49 West
Ulysses, PA 16948

Phone

(814) 848-7565

NPI assigned

Aug 1, 2006

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary O Erway

Title

President

Phone

(814) 848-7565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1174539977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "ULYSSES",
            "state": "PA",
            "postal_code": "169480247",
            "telephone_number": "814-848-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 STATE ROUTE 49 WEST",
            "city": "ULYSSES",
            "state": "PA",
            "postal_code": "16948",
            "telephone_number": "814-848-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI TOWN AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "ERWAY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-848-7565"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011305400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Cole Memorial Hospital
• Concern-Professional Services for Children, Youth & Families
• Concern-Professional Services for Children, Youth & Families
• Sandra K Nauman, L.P.N.
• Northern Potter School District
• Tri Town Ambulance Association

• Land Ambulance in Ulysses, PA
• Providers in Ulysses, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.