Organization Active NPI

Tri-Township Ambulance Authority

  • Land Ambulance
  • Foster City, MI
National Provider Identifier
1295959617
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
221001 Issued in MI
Legal business name
TRI-TOWNSHIP AMBULANCE AUTHORITY
Practice address
W2308 Hwy M69
Foster City, MI 49834-0000
Phone
(906) 246-3832
Fax
(906) 246-3832
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Robert A Mattson
Title
Tri-Township Ambulance Authority Bo
Phone
(906) 280-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 221001 MI Primary

Addresses

Primary practice location

W2308 Hwy M69
Foster City, MI 49834-0000

Mailing address

W2308 Hwy M 69
Foster City, MI 49834-0000
Phone (906) 246-3832

Other identifiers 1

IdentifierTypeStateIssuer
3005136MedicaidMI

Other names 1

  • Nordic Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

W2308 State Highway M69
Foster City, MI 49834
Phone (906) 221-7789

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1295959617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2308 HWY M 69",
            "city": "FOSTER CITY",
            "state": "MI",
            "postal_code": "498340000",
            "telephone_number": "906-246-3832",
            "fax_number": "906-246-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2308 HWY M69",
            "city": "FOSTER CITY",
            "state": "MI",
            "postal_code": "498340000",
            "telephone_number": "906-246-3832",
            "fax_number": "906-246-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-TOWNSHIP AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TRI-TOWNSHIP AMBULANCE AUTHORITY BO",
        "authorized_official_telephone_number": "906-280-6402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "221001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005136",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nordic Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foster City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.