Provider Demographics
NPI:1417285453
Name:TRUMEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:TRUMEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:ORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-305-8124
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:COLLEGEDALE
Mailing Address - State:TN
Mailing Address - Zip Code:37315-1869
Mailing Address - Country:US
Mailing Address - Phone:423-910-0100
Mailing Address - Fax:423-910-0121
Practice Address - Street 1:5201 OOLEWAH-RINGGOLD ROAD
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363
Practice Address - Country:US
Practice Address - Phone:423-910-0100
Practice Address - Fax:423-910-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1518899Medicaid
KY7100114400Medicaid
TN1518899Medicaid