Provider Demographics
NPI:1801170022
Name:TRINITAS COHORTIS LLC
Entity type:Organization
Organization Name:TRINITAS COHORTIS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-392-4896
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:GA
Mailing Address - Zip Code:31637-0415
Mailing Address - Country:US
Mailing Address - Phone:229-392-4896
Mailing Address - Fax:
Practice Address - Street 1:15 S RAILROAD ST
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:GA
Practice Address - Zip Code:31637-7424
Practice Address - Country:US
Practice Address - Phone:229-392-4896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037-033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport