Provider Demographics
NPI:1568780211
Name:TRINITY THREE COMPANY LLC
Entity Type:Organization
Organization Name:TRINITY THREE COMPANY LLC
Other - Org Name:TRINITY THREE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:POLK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-638-1102
Mailing Address - Street 1:3209 N ALAMEDA ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90222-1406
Mailing Address - Country:US
Mailing Address - Phone:310-638-1102
Mailing Address - Fax:888-552-5793
Practice Address - Street 1:3209 N ALAMEDA ST
Practice Address - Street 2:SUITE A
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222-1406
Practice Address - Country:US
Practice Address - Phone:310-638-1102
Practice Address - Fax:888-552-5793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101133416L0300X
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)