Provider Demographics
NPI:1750986626
Name:TRUSTED PRIMARY CARE
Entity type:Organization
Organization Name:TRUSTED PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MERRILL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:620-236-3484
Mailing Address - Street 1:109 E WEST PLAINS ST
Mailing Address - Street 2:
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-9738
Mailing Address - Country:US
Mailing Address - Phone:816-985-1215
Mailing Address - Fax:
Practice Address - Street 1:109 E WEST PLAINS ST
Practice Address - Street 2:
Practice Address - City:MEADE
Practice Address - State:KS
Practice Address - Zip Code:67864-9738
Practice Address - Country:US
Practice Address - Phone:816-985-1215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty