Provider Demographics
NPI:1255436150
Name:TRI-COMMUNITY AMBULANCE
Entity type:Organization
Organization Name:TRI-COMMUNITY AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:IX
Authorized Official - Credentials:
Authorized Official - Phone:724-258-0841
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-0093
Mailing Address - Country:US
Mailing Address - Phone:724-258-0841
Mailing Address - Fax:724-258-4991
Practice Address - Street 1:226 CHESS ST
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2447
Practice Address - Country:US
Practice Address - Phone:724-258-7789
Practice Address - Fax:724-258-4991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008486340002Medicaid
PA0008486340002Medicaid
PA285790Medicare UPIN