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NPI Code Detail

MEDICARE: TRINITY HOSPITAL LLC

MEDICARE: TRINITY HOSPITAL 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
1282NC0060XCritical Access Hospital0000000055TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13170119OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31000190OTHERTNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1720036841
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY HOSPITAL LLC
Provider Business Mailing Address
First Line : PO BOX 489
Second Line : 5001 E MAIN ST
City : ERIN
State : TN
Zip : 37061-0489
Country : US
Telephone Number : 931-289-4211
Fax Number : 931-289-4158
Provider Business Practice Location Address
First Line : 5001 E MAIN ST
Second Line :
City : ERIN
State : TN
Zip : 37061-4115
Country : US
Telephone Number : 931-289-4211
Fax Number : 931-289-4337
Authorized Official
Title or Position : CFO
Name : SHANNON ALLISON
Credential :
Telephone Number : 931-289-4211
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/23/2008

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Directions to “TRINITY HOSPITAL LLC ” Practice Location

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