Provider Demographics
NPI:1689299901
Name:TRIUNECARE
Entity Type:Organization
Organization Name:TRIUNECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIK
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-672-3296
Mailing Address - Street 1:1660 RAYBRAD DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-6038
Mailing Address - Country:US
Mailing Address - Phone:901-305-6536
Mailing Address - Fax:901-249-7794
Practice Address - Street 1:1660 RAYBRAD DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-6038
Practice Address - Country:US
Practice Address - Phone:901-305-6536
Practice Address - Fax:901-249-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)