Provider Demographics
NPI:1770917817
Name:TRUSTED HEALTH CARE, INC
Entity type:Organization
Organization Name:TRUSTED HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JILIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WAITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-436-3833
Mailing Address - Street 1:PO BOX 443
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47390-0443
Mailing Address - Country:US
Mailing Address - Phone:765-964-4100
Mailing Address - Fax:765-964-4300
Practice Address - Street 1:134 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:45612-9963
Practice Address - Country:US
Practice Address - Phone:740-634-2013
Practice Address - Fax:740-634-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH363859Medicare Oscar/Certification
OHPENDINGMedicare Oscar/Certification