Provider Demographics
NPI:1578737375
Name:TRI-STARR TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:TRI-STARR TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BOWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-943-8222
Mailing Address - Street 1:PO BOX 5452
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-5452
Mailing Address - Country:US
Mailing Address - Phone:423-943-8222
Mailing Address - Fax:423-926-8023
Practice Address - Street 1:3605 IAN DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2762
Practice Address - Country:US
Practice Address - Phone:423-943-8222
Practice Address - Fax:423-926-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)