Provider Demographics
NPI:1720211782
Name:TRINITY NON-EMERGENCY TRANSPORT INC.
Entity Type:Organization
Organization Name:TRINITY NON-EMERGENCY TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ROXANNE
Authorized Official - Last Name:UPTHEGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-661-5515
Mailing Address - Street 1:PO BOX 2005
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33831-2005
Mailing Address - Country:US
Mailing Address - Phone:863-661-5515
Mailing Address - Fax:863-533-6105
Practice Address - Street 1:1202 LAUREL CIR
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-6964
Practice Address - Country:US
Practice Address - Phone:863-661-5515
Practice Address - Fax:863-533-6105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL84624343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)