# TRI-TOWNSHIP AMBULANCE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nordic Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295959617
- **Authorized official:** MR. ROBERT A MATTSON (TRI-TOWNSHIP AMBULANCE AUTHORITY BO)
- **Authorized official phone:** (906) 280-6402

## Contact information

- **Practice address:** W2308 HWY M69, FOSTER CITY, MI 49834-0000
- **Practice address phone:** (906) 246-3832
- **Practice address fax:** (906) 246-3832
- **Mailing address:** W2308 HWY M 69, FOSTER CITY, MI 49834-0000
- **Mailing address phone:** (906) 246-3832
- **Mailing address fax:** (906) 246-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 221001 | MI | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3005136 | — | MI |