# TRI-STARS INC

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

## Provider details

- **NPI number:** 1740343623
- **Authorized official:** ROBERT MANSON (BILLING AGENT)
- **Authorized official phone:** (906) 786-2051

## Contact information

- **Practice address:** 9425 00.25 RD, COOKS, MI 49817-9607
- **Practice address phone:** (906) 644-2488
- **Mailing address:** 828 SHERIDAN RD, ESCANABA, MI 49829-1531
- **Mailing address phone:** (906) 786-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 211001 | MI | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 06/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4365547 | — | MI |