Provider Demographics
NPI:1922292929
Name:TRIANGLE MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:TRIANGLE MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-222-0029
Mailing Address - Street 1:2921 DAMASCUS RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4662
Mailing Address - Country:US
Mailing Address - Phone:910-222-0029
Mailing Address - Fax:910-222-0031
Practice Address - Street 1:2921 DAMASCUS RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4662
Practice Address - Country:US
Practice Address - Phone:910-222-0029
Practice Address - Fax:910-222-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-02
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health