Provider Demographics
NPI:1972743466
Name:TRINITY TRANSPORT, INC
Entity Type:Organization
Organization Name:TRINITY TRANSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GLASPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-833-4160
Mailing Address - Street 1:100 LARKSPUR ST
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-2499
Mailing Address - Country:US
Mailing Address - Phone:601-833-4160
Mailing Address - Fax:601-833-5169
Practice Address - Street 1:100 LARKSPUR ST
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-2499
Practice Address - Country:US
Practice Address - Phone:601-833-4160
Practice Address - Fax:601-833-5169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)