Active NPI
Tri-Stars Inc
- Land Ambulance
- Cooks, MI
National Provider Identifier
1740343623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 211001
- Legal business name
- TRI-STARS INC
- Practice address
- 9425 00.25 Rd
Cooks, MI 49817-9607 - Phone
- (906) 644-2488
- NPI assigned
- Dec 19, 2006
- Last updated
- Jun 22, 2008
- 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
- Robert Manson
- Title
- Billing Agent
- Phone
- (906) 786-2051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 211001 | MI | Primary |
Addresses
Primary practice location
9425 00.25 Rd
Cooks, MI 49817-9607
Mailing address
828 Sheridan Rd
Escanaba, MI 49829-1531
Phone (906) 786-2051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4365547 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120508000644 | MI | Part B Supplier - Ambulance Service Supplier | 3072775014 | Practice locations: Garden, MI; Rapid River, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214092800000",
"number": "1740343623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 SHERIDAN RD",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291531",
"telephone_number": "906-786-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9425 00.25 RD",
"city": "COOKS",
"state": "MI",
"postal_code": "498179607",
"telephone_number": "906-644-2488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STARS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2008-06-22",
"status": "A",
"authorized_official_last_name": "MANSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "906-786-2051"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "211001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4365547",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cooks, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; 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.