Provider Demographics
NPI:1356870349
Name:TRINITY HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:TRINITY HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:SANQUITA
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-330-8498
Mailing Address - Street 1:5295 RIVERCHASE DR APT 805
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-7511
Mailing Address - Country:US
Mailing Address - Phone:706-330-8498
Mailing Address - Fax:
Practice Address - Street 1:5295 RIVERCHASE DR APT 805
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-7511
Practice Address - Country:US
Practice Address - Phone:706-330-8498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service