NPI 1821334673 · live from the CMS NPI Registry
-Trinity Integrative Medicine
Emergency Medicine in Jeffersonville, IN. National Provider Identifier 1821334673, active.
NPI record
| NPI | 1821334673 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 100 West Court St, Trinity Integrative Medicine LLC, Jeffersonville, IN 47130 |
| Practice phone | 859-468-5065 |
| Mailing address | 14 Redgate Ct, Silver Spring, MD 20905 |
| Enumerated | December 26, 2012 |
| Last updated | January 24, 2013 |
| Authorized official | Rafael Cruz, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Emergency Care | 261QE0002X | 37305 (KY) |
| Emergency Medicine primary | 207P00000X | 01046661A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.