Provider Demographics
NPI:1679685184
Name:TRI STATE AMBULANCE & RENTALS, INC.
Entity Type:Organization
Organization Name:TRI STATE AMBULANCE & RENTALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RITNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-233-4357
Mailing Address - Street 1:81 17TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3652
Mailing Address - Country:US
Mailing Address - Phone:304-233-4357
Mailing Address - Fax:304-233-2647
Practice Address - Street 1:81 17TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3652
Practice Address - Country:US
Practice Address - Phone:304-233-4357
Practice Address - Fax:304-233-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV022123341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0145541000Medicaid
OH0386167Medicaid
OH0386167Medicaid