Healthcare Provider Details

I. General information

NPI: 1316998909
Provider Name (Legal Business Name): TRI - TOWNSHIP AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11413 PARLAND ST
ATLANTA MI
49709-9271
US

IV. Provider business mailing address

11413 PARLAND ST P.O. BOX 275
ATLANTA MI
49709-9271
US

V. Phone/Fax

Practice location:
  • Phone: 989-785-4841
  • Fax: 989-785-4565
Mailing address:
  • Phone: 989-785-4841
  • Fax: 989-785-4565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number601003
License Number StateMI

VIII. Authorized Official

Name: JODY VONOPPEN
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 989-785-4841