MEDICARE: TRI HOSPITAL EMERGENCY MEDICAL SERVICES CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	741003	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598877268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI HOSPITAL EMERGENCY MEDICAL SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	309 GRAND RIVER AVE
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3814
Country	:	US
Telephone Number	:	810-985-7219
Fax Number	:	810-985-3012

Provider Business Practice Location Address
First Line	:	309 GRAND RIVER AVE
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3814
Country	:	US
Telephone Number	:	810-985-7219
Fax Number	:	810-985-3012

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TIMOTHY NIGGEMEYER
Credential	:
Telephone Number	:	810-985-3980

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/12/2026

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Directions to “TRI HOSPITAL EMERGENCY MEDICAL SERVICES CORPORATION ” Practice Location

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