Provider Demographics
NPI:1790459162
Name:SUNLAND MEDICAL FOUNDATION
Entity Type:Organization
Organization Name:SUNLAND MEDICAL FOUNDATION
Other - Org Name:TRINITY REGIONAL HOSPITAL SACHSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARITA
Authorized Official - Middle Name:GISSEL
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MACC
Authorized Official - Phone:270-970-7176
Mailing Address - Street 1:4750 PRESIDENT GEORGE BUSH TPKE
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-4283
Mailing Address - Country:US
Mailing Address - Phone:469-298-2599
Mailing Address - Fax:
Practice Address - Street 1:4750 PRESIDENT GEORGE BUSH TPKE
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-4283
Practice Address - Country:US
Practice Address - Phone:469-962-2100
Practice Address - Fax:469-962-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital