| Trinity Medical Center, P.c. | |
|
37300 Dequindre Rd Suite 120 Sterling Heights MI 48310-3591 | |
| (586) 275-0065 | |
| (586) 275-0066 |
| Full Name | Trinity Medical Center, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 37300 Dequindre Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Victor Petros Al-matchy (OWNER PRESIDENT) |
| Authorized Official Contact | 5862750065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Center, P.c. 37300 Dequindre Rd Ste 120 Sterling Heights MI 48310-3591 Ph: (586) 275-0065 | Trinity Medical Center, P.c. 37300 Dequindre Rd Suite 120 Sterling Heights MI 48310-3591 Ph: (586) 275-0065 |
| NPI Number | 1730193657 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 01/03/2014 |
| Medicare PECOS PAC ID | 8921002130 |
|---|---|
| Medicare Enrollment ID | O20060830000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730193657 | NPI | - | NPPES |
| 4301070663 | Other | MI | STATE LICENSE |
| 700E027480 | Other | MI | BCBS |
| 4889519 10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301070663 (Michigan) | Primary |
| Provider Name | Victor P Almatchy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609811975 PECOS PAC ID: 8820071616 Enrollment ID: I20040611000750 |
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