Organization Active NPI

Tri-Community Ambulance

  • Land Ambulance
  • Monongahela, PA
National Provider Identifier
1255436150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03216 Issued in PA
Legal business name
TRI-COMMUNITY AMBULANCE
Practice address
226 Chess St
Monongahela, PA 15063-2447
Phone
(724) 258-7789
Fax
(724) 258-4991
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ramona M. Bright IX
Title
Executive Director
Phone
(724) 258-0841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03216 PA Primary

Addresses

Primary practice location

226 Chess St
Monongahela, PA 15063-2447

Mailing address

PO Box 93
Monongahela, PA 15063-0093
Phone (724) 258-0841

Other identifiers 1

IdentifierTypeStateIssuer
0008486340002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000509 PA Part B Supplier - Ambulance Service Supplier 3375541691 Practice locations: Monongahela, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0872387Tri Community Ambulance226 Chess Street, Monongahela, PA 15063Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

226 Chess St
Monongahela, PA 15063
Phone (717) 334-6971

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255436150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150630093",
            "telephone_number": "724-258-0841",
            "fax_number": "724-258-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CHESS ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632447",
            "telephone_number": "724-258-7789",
            "fax_number": "724-258-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COMMUNITY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-258-0841",
        "authorized_official_name_suffix": "IX"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008486340002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.