| Organization Name: | TRI-STATE AMBULANCE SVC CORP |
| NPI Number: | 1487876199 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MEGAN SHAFFER (PRESIDENT) |
| Mailing Address: | 34 River Rd Bow |
| State: | NH US |
| Postal Code: | 033043313 |
| Phone Number: | 6032247363 |
| Fax Number: | 6032281892 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 01/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |