# TRI-COUNTY AMBULANCE SERVICE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467459909
- **Authorized official:** KEVIN A. FARRELL (PRESIDENT/CEO)
- **Authorized official phone:** (440) 951-4600

## Contact information

- **Practice address:** 7000 SPINACH DR, MENTOR, OH 44060-4958
- **Practice address phone:** (440) 951-4600
- **Practice address fax:** (440) 974-9202
- **Mailing address:** 7000 SPINACH DR, MENTOR, OH 44060-4958
- **Mailing address phone:** (440) 951-4600
- **Mailing address fax:** (440) 974-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 430092 | OH | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000155614 | ANTHEM | OH |
| 05 | — | 0596725 | — | OH |
| 01 | — | 81-00108 | EVERCARE | OH |