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NPI Code Detail

MEDICARE: TRINITY PROFESSIONAL HEALTH SERVICES, INC.

MEDICARE: TRINITY PROFESSIONAL HEALTH SERVICES, INC.
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
1163WH0200XHome Health Registered Nurse00010664MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073510350
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY PROFESSIONAL HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 9191 W FLORISSANT AVE
Second Line : SUITE 208
City : SAINT LOUIS
State : MO
Zip : 63136-1424
Country : US
Telephone Number : 314-522-6000
Fax Number : 314-522-6001
Provider Business Practice Location Address
First Line : 9191 W FLORISSANT AVE
Second Line : SUITE 208
City : SAINT LOUIS
State : MO
Zip : 63136-1424
Country : US
Telephone Number : 314-521-0697
Fax Number : 314-522-2053
Authorized Official
Title or Position : PRESIDENT
Name : MS. KAREN LYNN PHILLIPS
Credential : RN
Telephone Number : 314-398-1458
Provider Enumeration Date : 07/01/2005
Last Update Date : 05/12/2014

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Directions to “TRINITY PROFESSIONAL HEALTH SERVICES, INC. ” Practice Location

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