Provider Demographics
NPI:1073574547
Name:TRINITY HOME MEDICAL EQUIPMENT CO
Entity Type:Organization
Organization Name:TRINITY HOME MEDICAL EQUIPMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-663-6636
Mailing Address - Street 1:1624 COMMERCE PARKWAY
Mailing Address - Street 2:STE A
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704
Mailing Address - Country:US
Mailing Address - Phone:309-663-6636
Mailing Address - Fax:309-663-6909
Practice Address - Street 1:1624 COMMERCE PARKWAY
Practice Address - Street 2:STE A
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704
Practice Address - Country:US
Practice Address - Phone:309-663-6636
Practice Address - Fax:309-663-6909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL05732040OtherBCBS
IL05732040OtherBCBS
IL05732040OtherBCBS