Provider Demographics
NPI:1720036841
Name:TRINITY HOSPITAL LLC
Entity Type:Organization
Organization Name:TRINITY HOSPITAL LLC
Other - Org Name:TRINITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-289-4211
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:5001 E MAIN ST
Mailing Address - City:ERIN
Mailing Address - State:TN
Mailing Address - Zip Code:37061-0489
Mailing Address - Country:US
Mailing Address - Phone:931-289-4211
Mailing Address - Fax:931-289-4158
Practice Address - Street 1:5001 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ERIN
Practice Address - State:TN
Practice Address - Zip Code:37061-4115
Practice Address - Country:US
Practice Address - Phone:931-289-4211
Practice Address - Fax:931-289-4337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000055282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3170119OtherBCBS
TN0441312Medicaid
TN1000190OtherBLUE CROSS BLUE SHIELD
TN0441312Medicaid
TN3170119OtherBCBS