Provider Demographics
NPI:1750832416
Name:ALPHA TRINITY COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:ALPHA TRINITY COMMUNITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-929-7054
Mailing Address - Street 1:2175 FAIR HILL DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5659
Mailing Address - Country:US
Mailing Address - Phone:214-929-7054
Mailing Address - Fax:
Practice Address - Street 1:610 S INDUSTRIAL BLVD STE 130
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-5015
Practice Address - Country:US
Practice Address - Phone:817-858-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health