| Organization Name: | TRINITY HEALTHCARE OF WINSTON SALEM INC |
| NPI Number: | 1487689105 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY SPARLING (VP ADMINISTRATIVE SERVICES) |
| Mailing Address: | 590 Historic Hwy 441n Demorest |
| State: | GA US |
| Postal Code: | 30535 |
| Phone Number: | 7068391080 |
| Fax Number: | 7068391090 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 12/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/18/2007 |
| NPI Reactivation Date: | 12/31/2007 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 20017651502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |