Provider Demographics
NPI:1619139110
Name:TRINITY MEDICAL SUPPLIES & EQUIPMENT
Entity Type:Organization
Organization Name:TRINITY MEDICAL SUPPLIES & EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BATES
Authorized Official - Suffix:SR
Authorized Official - Credentials:EDS
Authorized Official - Phone:901-581-0447
Mailing Address - Street 1:12343 DALLAS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-8762
Mailing Address - Country:US
Mailing Address - Phone:901-581-0447
Mailing Address - Fax:901-867-8626
Practice Address - Street 1:12343 DALLAS RIDGE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-8762
Practice Address - Country:US
Practice Address - Phone:901-581-0447
Practice Address - Fax:901-867-8626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies