Tri State EMS LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TRI STATE EMS LLC

Practice address

1391 Easton Rd
Abington, PA 19001-2453

Phone

(610) 504-5464

Fax

(610) 549-7449

NPI assigned

Jun 29, 2019

Organization subpart

No

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

Authorized official

Name

Alexander Orion Kvetan

Title

Administration

Phone

(610) 504-5464

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PENN CARE TRANSIT LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1336701358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18533",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360533",
            "telephone_number": "610-246-6908",
            "fax_number": "724-234-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 EASTON RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012453",
            "telephone_number": "610-504-5464",
            "fax_number": "610-549-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "KVETAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "ORION",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "610-504-5464"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037289730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN CARE TRANSIT LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Victoria H Tompkins, CRNP
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• Jacqueline Elizabeth Turner
• Stephanie Rebecca Tzarnas, M.D.

• Ambulance in Abington, PA
• Providers in Abington, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.