Provider Demographics
NPI:1356563977
Name:TRINITY FREE CLINIC INC
Entity type:Organization
Organization Name:TRINITY FREE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARNOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-819-0772
Mailing Address - Street 1:14598 OAKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032
Mailing Address - Country:US
Mailing Address - Phone:317-819-0772
Mailing Address - Fax:317-819-0775
Practice Address - Street 1:14598 OAKRIDGE RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-819-0772
Practice Address - Fax:317-819-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center