Provider Demographics
NPI:1538777024
Name:TRI-K HEALTH LLC
Entity type:Organization
Organization Name:TRI-K HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:RUMPH
Authorized Official - Suffix:III
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:423-413-8386
Mailing Address - Street 1:617 SPRING VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-3909
Mailing Address - Country:US
Mailing Address - Phone:423-413-8386
Mailing Address - Fax:
Practice Address - Street 1:525 CHEROKEE BLVD STE 5
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3865
Practice Address - Country:US
Practice Address - Phone:423-299-1626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service