Provider Demographics
NPI:1568217347
Name:TRUFUSION CLINICS
Entity Type:Organization
Organization Name:TRUFUSION CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:702-481-0938
Mailing Address - Street 1:600 NUT TREE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-4656
Mailing Address - Country:US
Mailing Address - Phone:707-798-9698
Mailing Address - Fax:
Practice Address - Street 1:600 NUT TREE RD STE 220
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-4656
Practice Address - Country:US
Practice Address - Phone:707-798-9698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy