Active NPI
Tri-Township Ambulance Authority
- Land Ambulance
- Foster City, MI
National Provider Identifier
1295959617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 221001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3005136 | Medicaid | MI |
Other names 1
- Nordic Ambulance
National Provider Directory
National Provider DirectoryLocations
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.