Provider Demographics
NPI:1467897462
Name:TRUSTEES OF TRINITY COLLEGE
Entity Type:Organization
Organization Name:TRUSTEES OF TRINITY COLLEGE
Other - Org Name:TRINITY COLLEGE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF STUDENT HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-297-2018
Mailing Address - Street 1:300 SUMMIT ST
Mailing Address - Street 2:WHEATON HALL
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-3100
Mailing Address - Country:US
Mailing Address - Phone:860-297-2018
Mailing Address - Fax:860-297-2020
Practice Address - Street 1:300 SUMMIT ST
Practice Address - Street 2:WHEATON HALL
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3100
Practice Address - Country:US
Practice Address - Phone:860-297-2018
Practice Address - Fax:860-297-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0319261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health