Tri-County Joint Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02-0426150 Issued in OH

Legal business name

TRI-COUNTY JOINT AMBULANCE SERVICE

Practice address

530 S College St
Newcomerstown, OH 43832-1420

Phone

(740) 498-6598

NPI assigned

Oct 13, 2006

Organization subpart

Yes

Parent organization

TRI-COUNTY JOINT AMBULANCE SERVICEAs reported in NPPES

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

Authorized official

Name

Alvin C Moore

Title

Chief

Phone

(740) 498-6598

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• TRI-COUNTY JOINT AMBULANCE DISTRICT Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Tri-County Ambulance SE

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1366532004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S COLLEGE ST",
            "city": "NEWCOMERSTOWN",
            "state": "OH",
            "postal_code": "438321420",
            "telephone_number": "740-498-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S COLLEGE ST",
            "city": "NEWCOMERSTOWN",
            "state": "OH",
            "postal_code": "438321420",
            "telephone_number": "740-498-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY JOINT AMBULANCE SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-COUNTY JOINT AMBULANCE SERVICE",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "740-498-6598"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0426150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020426150",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177473",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "590003618",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-COUNTY JOINT AMBULANCE DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Lee Stull III, L.P.N.
• Robert M Sweeney, D.C.
• Robin Lee Tackett, OTR/L
• Cheyenne N Tanksley
• The Union Hospital Association
• Trinity Hospital Twin City
• Upmc Twin City
• Richard Lee Van Voorhis, D.C.
• Leah Ranee Watson
• Ashley Weller

• All providers in Newcomerstown, OH
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.