Tri-Village Rescue Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRI-VILLAGE RESCUE SERVICES INC

Practice address

320 N Main St
New Madison, OH 45346-9794

Phone

(937) 996-3155

NPI assigned

Aug 18, 2005

Last updated

Oct 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Burns

Title

Chief

Phone

(937) 996-3155

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1467444281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621005",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452621005",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST",
            "city": "NEW MADISON",
            "state": "OH",
            "postal_code": "453469794",
            "telephone_number": "937-996-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VILLAGE RESCUE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-996-3155"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0558794",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "5900155555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000001119",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie E Miller
• Jessica Marie Miller
• Jared Rush, ATC
• Tri-Village Joint Ambulance District
• Tri-Village Local School District
• Krystal Washington

• Land Ambulance in New Madison, OH
• Providers in New Madison, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.