Provider Demographics
NPI:1457940512
Name:HOLY TRINITY EPISCOPAL CHURCH
Entity Type:Organization
Organization Name:HOLY TRINITY EPISCOPAL CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAITH COMMUNITY NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:STACEY
Authorized Official - Last Name:WESTPHAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, DEACON
Authorized Official - Phone:321-723-5272
Mailing Address - Street 1:50 W STRAWBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-4438
Mailing Address - Country:US
Mailing Address - Phone:321-723-5272
Mailing Address - Fax:321-723-6774
Practice Address - Street 1:50 W STRAWBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4438
Practice Address - Country:US
Practice Address - Phone:321-723-5272
Practice Address - Fax:321-723-6774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable