| Trinity Comprehensive Healthcare Center | |
|
2838 Hickory Hill Rd Ste 29 Memphis TN 38115-2161 | |
| (901) 676-6218 | |
| (901) 425-9639 |
| Full Name | Trinity Comprehensive Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2838 Hickory Hill Rd Ste 29, Memphis, Tennessee |
| Authorized Official Name and Position | Latoya Cook (AUTHORIZED OFFICIAL COOWNER) |
| Authorized Official Contact | 9019499916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Comprehensive Healthcare Center Po Box 750103 Memphis TN 38175-0103 Ph: (901) 676-6218 | Trinity Comprehensive Healthcare Center 2838 Hickory Hill Rd Ste 29 Memphis TN 38115-2161 Ph: (901) 676-6218 |
| NPI Number | 1881284891 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 2466852033 |
|---|---|
| Medicare Enrollment ID | O20210618000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881284891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Latoya Shantae Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235744525 PECOS PAC ID: 7214346006 Enrollment ID: I20210507000182 |
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