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NPI Code Detail

MEDICARE: EMERGI-TRUST

MEDICARE: EMERGI-TRUST
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
1207P00000XEmergency Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DA3956OTHERTNRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14061460OTHERBCBS GROUP PROVIDER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497725873
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGI-TRUST
Provider Business Mailing Address
First Line : PO BOX 966
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-0966
Country : US
Telephone Number : 877-346-2211
Fax Number : 626-623-1227
Provider Business Practice Location Address
First Line : 4321 CAROTHERS PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-5909
Country : US
Telephone Number : 855-302-0550
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. TANNER S BOYD
Credential : MD
Telephone Number : 615-975-1203
Provider Enumeration Date : 01/26/2006
Last Update Date : 11/14/2025

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Directions to “EMERGI-TRUST ” Practice Location

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