Active NPI
Tri-Community Ambulance
- Land Ambulance
- Monongahela, PA
National Provider Identifier
1255436150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03216
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008486340002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061121000509 | PA | Part B Supplier - Ambulance Service Supplier | 3375541691 | Practice locations: Monongahela, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0872387 | Tri Community Ambulance | Certificate of waiver | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.