Organization
TRI-COUNTY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN A. FARRELL (PRESIDENT/CEO)
(440) 951-4600
Entity
Organization
Contact information
Practice address
7000 SPINACH DR, MENTOR, OH 44060-4958
(440) 951-4600
(440) 974-9202
Mailing address
7000 SPINACH DR, MENTOR, OH 44060-4958
(440) 951-4600
(440) 974-9202
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
430092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155614
ANTHEM
OH
05
—
0596725
—
OH
01
—
81-00108
EVERCARE
OH
Enumeration date
06/30/2005
Last updated
08/22/2020
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