Provider Demographics
NPI:1609199421
Name:TROY HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:TROY HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-770-2222
Mailing Address - Street 1:PO BOX 1333
Mailing Address - Street 2:199 SCOUTING CIRCLE
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-1333
Mailing Address - Country:US
Mailing Address - Phone:334-770-2222
Mailing Address - Fax:334-770-2224
Practice Address - Street 1:199 SCOUTING CIRCLE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081
Practice Address - Country:US
Practice Address - Phone:334-770-2222
Practice Address - Fax:334-770-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD 26041207R00000X
ALDO 1079207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty