Provider Demographics
NPI:1205345782
Name:VETFED CARENET
Entity type:Organization
Organization Name:VETFED CARENET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINCHITELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-519-0418
Mailing Address - Street 1:15201 DIAMONDBACK DR STE 125
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3695
Mailing Address - Country:US
Mailing Address - Phone:301-355-7779
Mailing Address - Fax:
Practice Address - Street 1:15201 DIAMONDBACK DR STE 125
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3695
Practice Address - Country:US
Practice Address - Phone:301-355-7779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty