NPIMap

Organization Active NPI

Tri-Country Ambulance

  • Land Ambulance
  • Covington TWP, PA
National Provider Identifier
1922421965
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
000000 Issued in PA
Legal business name
TRI-COUNTRY AMBULANCE
Practice address
352 Scranton Pocono Hwy
Covington TWP, PA 18444-7900
Phone
(570) 955-8409
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mr. Chad Thomas Grabousky
Title
Ceo/President
Phone
(570) 955-8409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 000000 PA Primary

Addresses

Primary practice location

352 Scranton Pocono Hwy
Covington TWP, PA 18444-7900

Mailing address

352 Scranton Pocono Hwy
Covington TWP, PA 18444-7900
Phone (570) 955-8409

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1922421965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 SCRANTON POCONO HWY",
            "city": "COVINGTON TWP",
            "state": "PA",
            "postal_code": "184447900",
            "telephone_number": "570-955-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 SCRANTON POCONO HWY",
            "city": "COVINGTON TWP",
            "state": "PA",
            "postal_code": "184447900",
            "telephone_number": "570-955-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTRY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "GRABOUSKY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "570-955-8409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.