Organization Name: | TRINITY EMS LLC |
NPI Number: | 1063843597 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON ALAN CORMIER (DIRECTOR) |
Mailing Address: | 155 Westridge Pkwy Suite 210 Mcdonough |
State: | GA US |
Postal Code: | 302533051 |
Phone Number: | 7709148803 |
Fax Number: | 7709148949 |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 075-13 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |