Provider Demographics
NPI:1801523543
Name:TRINITY MEDTRANSPORT
Entity type:Organization
Organization Name:TRINITY MEDTRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-286-1812
Mailing Address - Street 1:417 SODBURY CT
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6449
Mailing Address - Country:US
Mailing Address - Phone:214-286-1812
Mailing Address - Fax:
Practice Address - Street 1:417 SODBURY CT
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-6449
Practice Address - Country:US
Practice Address - Phone:214-286-1812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)