Tri Town Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRI TOWN AMBULANCE ASSOCIATION

Practice address

810 State Route 49 W
Ulysses, PA 16948-9422

Phone

(814) 848-7611

Fax

(814) 848-9642

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Tim Teller

Title

President

Phone

(814) 848-9905

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1881936664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "ULYSSES",
            "state": "PA",
            "postal_code": "169480247",
            "telephone_number": "814-848-7611",
            "fax_number": "814-848-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 STATE ROUTE 49 W",
            "city": "ULYSSES",
            "state": "PA",
            "postal_code": "169489422",
            "telephone_number": "814-848-7611",
            "fax_number": "814-848-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI TOWN AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "TELLER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-848-9905"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028525950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Cole Memorial Hospital
• Sandra K Nauman, L.P.N.
• Northern Potter School District
• Tri Town Ambulance Association

• All providers in Ulysses, PA
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.