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TRICARE AMBULANCE SERVICE L.L.C.
NPI 1043875586
Ambulance - Land Transport in Alma, GA

Active since May 09, 2019CLIA 11D2282833 · Waiver
172 PINE HOLLOW LN, ALMA, GA 31510(888) 388-7422 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2020, Aug 22, 2019, May 9, 2019 (3 updates tracked since 2019).

About Tricare Ambulance Service L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRICARE AMBULANCE SERVICE L.L.C. (NPI 1043875586) is a healthcare organization registered as a land transport in Alma, Georgia and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Eli Sasha Hayes, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043875586
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameTRICARE AMBULANCE SERVICE L.L.C.
Location Address172 PINE HOLLOW LNAlma, GA 31510
Mailing Address172 Pine Hollow LnAlma, GA 31510 · (888) 388-7422
Phone(888) 388-7422
Organization SubpartNo
Authorized OfficialEli Sasha HayesManaging Partner · (912) 282-8657
Enumeration DateMay 9, 2019
Last NPPES UpdateMay 28, 20203 updates tracked since enumeration
NPPES CertifiedMay 28, 2020
✔ NPI 1043875586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
172 PINE HOLLOW LN, Alma, GA 31510
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2282833

Tricare Ambulance Service · Alma, GA
Active · expires May 25, 2027
CLIA Number11D2282833
Laboratory TypeAmbulance
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorScotty W. Boatright
Laboratory Phone(888) 388-7422
Laboratory LocationTricare Ambulance Service409 West 16th Street, Alma, GA 31510
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
52,833 services560 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
355 services283 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
329 services279 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
77 services74 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
29 services29 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tricare Ambulance Service L.L.C.'s NPI number?

The NPI number for Tricare Ambulance Service L.L.C. is 1043875586. It was assigned to this organization in the NPPES registry on May 9, 2019.

Where is Tricare Ambulance Service L.L.C. located?

Tricare Ambulance Service L.L.C. is located at 172 Pine Hollow Ln, Alma, GA 31510. The listed phone number is (888) 388-7422.

What is Tricare Ambulance Service L.L.C.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Tricare Ambulance Service L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2282833) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tricare Ambulance Service L.L.C. was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.