Organization Name: | TRI-STARS INC |
NPI Number: | 1740343623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT MANSON (BILLING AGENT) |
Mailing Address: | 9425 00.25 Rd Cooks |
State: | MI US |
Postal Code: | 498179607 |
Phone Number: | 9066442488 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 06/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 211001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |