MEDICARE: TRINITY HEALTH TRANSIT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance		OK

General Provider Information

NPI Number	:	1487603122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY HEALTH TRANSIT, LLC

Provider Business Mailing Address
First Line	:	1106 SE 59TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73129-7304
Country	:	US
Telephone Number	:	405-635-9905
Fax Number	:	405-635-9969

Provider Business Practice Location Address
First Line	:	1106 SE 59TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73129-7304
Country	:	US
Telephone Number	:	405-635-9905
Fax Number	:	405-635-9969

Authorized Official
Title or Position	:	VICE PRESIDENT/OFFICE MANAGER
Name	:	MRS. LINDA HAYNES
Credential	:
Telephone Number	:	405-635-9905

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	08/22/2020

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