Tri-Creek Ambulance Service Agency, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0195 Issued in IN

Legal business name

TRI-CREEK AMBULANCE SERVICE AGENCY, INC.

Doing business as

Tri-creek Ambulance Service Agency

Practice address

1331 E Commercial Ave
Lowell, IN 46356-2168

Phone

(219) 696-8610

NPI assigned

Apr 11, 2007

Last updated

Jun 12, 2024By 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

Mr. Michael McIntire

Title

Treasurer

Phone

(219) 696-8610

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tri-creek Ambulance Service Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1760605224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562168",
            "telephone_number": "219-696-6108",
            "fax_number": "219-690-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562168",
            "telephone_number": "219-696-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CREEK AMBULANCE SERVICE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "219-696-8610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281600A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "590164481",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-creek Ambulance Service Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley J Suslowicz, LMHC-A
• Talk Time Speech Therapy, Inc
• The Health and Hospital Corporation of Marion County (Lowell Healthcare Center)
• The Woman's Wellness Center, P.C.
• Lauren Ashleigh Thomas
• Tri-Creek School Corporation
• Amber Marie Turpin, FNP
• Carmen Lynn Van Kley, COTA
• Rachel Elizabeth Van Vlymen, DPT
• Michael Albert Vandersluis

• Land Ambulance in Lowell, IN
• Providers in Lowell, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.