Tri State Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRI STATE AMBULANCE INC

Practice address

7100 Whipple Ave NW Ste C
North Canton, OH 44720-7167

Phone

(330) 478-4111

Fax

(330) 232-9917

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth J Joseph

Title

Owner

Phone

(330) 484-8894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1225369069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 WAYNESBURG DR SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447072063",
            "telephone_number": "330-484-8894",
            "fax_number": "330-232-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WHIPPLE AVE NW STE C",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207167",
            "telephone_number": "330-478-4111",
            "fax_number": "330-232-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-484-8894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Trease, LPTA
• Tina Treglia, COTA/L
• Valerie Nicole Treharne
• David Trembley, OTR/L
• Tiffny J Trenka, PA-C
• Bethany Trickett
• Jennifer Triplett, COTA
• Lauren E Trotter, SLP
• Toni Troyer, COTA/L
• Heather M Trumbull, COTA/L

• Land Ambulance in North Canton, OH
• Providers in North Canton, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.