Provider Demographics
NPI:1942708706
Name:TRINITY FAMILY HEALTH, PLLC
Entity Type:Organization
Organization Name:TRINITY FAMILY HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:785-577-3727
Mailing Address - Street 1:PO BOX 255
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40702-0255
Mailing Address - Country:US
Mailing Address - Phone:785-577-3727
Mailing Address - Fax:606-528-8907
Practice Address - Street 1:205 S KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-1533
Practice Address - Country:US
Practice Address - Phone:785-577-3727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty