Provider Demographics
NPI: | 1255965083 |
---|---|
Name: | TRUE HEALTHCARE PARTNER LLC |
Entity type: | Organization |
Organization Name: | TRUE HEALTHCARE PARTNER LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | PHYLLIS |
Authorized Official - Middle Name: | ANN |
Authorized Official - Last Name: | HARMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | NP-C |
Authorized Official - Phone: | 812-593-5903 |
Mailing Address - Street 1: | 214 CRENSHAW DR |
Mailing Address - Street 2: | |
Mailing Address - City: | SAINT PAUL |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 47272-9435 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 812-651-0591 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 104 NORTH WEBSTER STREET |
Practice Address - Street 2: | |
Practice Address - City: | SAINT PAUL |
Practice Address - State: | IN |
Practice Address - Zip Code: | 47272-9435 |
Practice Address - Country: | US |
Practice Address - Phone: | 812-651-0951 |
Practice Address - Fax: | 765-525-4848 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-03-02 |
Last Update Date: | 2020-03-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |