Healthcare Provider Details

I. General information

NPI: 1366532004
Provider Name (Legal Business Name): TRI-COUNTY JOINT AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 S COLLEGE ST
NEWCOMERSTOWN OH
43832-1420
US

IV. Provider business mailing address

530 S COLLEGE ST
NEWCOMERSTOWN OH
43832-1420
US

V. Phone/Fax

Practice location:
  • Phone: 740-498-6598
  • Fax:
Mailing address:
  • Phone: 740-498-6598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02-0426150
License Number StateOH

VIII. Authorized Official

Name: ALVIN C MOORE
Title or Position: CHIEF
Credential:
Phone: 740-498-6598