Provider Demographics
NPI:1467638221
Name:TRINITY HEALTHCARE RECRUITING CORP
Entity Type:Organization
Organization Name:TRINITY HEALTHCARE RECRUITING CORP
Other - Org Name:TRINITY HEALTHCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-884-6490
Mailing Address - Street 1:5710 OGEECHEE ROAD
Mailing Address - Street 2:SUITE 200 PO BOX 273
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:912-884-6490
Mailing Address - Fax:912-884-6495
Practice Address - Street 1:242 COASTAL HWY SUITE 100
Practice Address - Street 2:PRIME CARE MEDICAL BLDG
Practice Address - City:MIDWAY
Practice Address - State:GA
Practice Address - Zip Code:31320
Practice Address - Country:US
Practice Address - Phone:912-884-6490
Practice Address - Fax:912-884-6495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA07-15806171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty