Trustcare Health, Llc | |
1067 Highland Colony Pkwy Ste G Ridgeland MS 39157-8834 | |
(601) 707-3490 | |
(601) 707-3491 |
Full Name | Trustcare Health, Llc |
---|---|
Speciality | Family Medicine |
Location | 1067 Highland Colony Pkwy Ste G, Ridgeland, Mississippi |
Authorized Official Name and Position | Warren T Herring (CEO) |
Authorized Official Contact | 6017073279 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trustcare Health, Llc 1107 Highland Colony Pkwy Ste 219 Ridgeland MS 39157-6079 Ph: (601) 707-3279 | Trustcare Health, Llc 1067 Highland Colony Pkwy Ste G Ridgeland MS 39157-8834 Ph: (601) 707-3490 |
NPI Number | 1174078554 |
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Provider Enumeration Date | 08/16/2016 |
Last Update Date | 09/19/2023 |
Medicare PECOS PAC ID | 2961779129 |
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Medicare Enrollment ID | O20170519000093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174078554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph S Hunter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467459149 PECOS PAC ID: 3072682095 Enrollment ID: I20100125000817 |
Provider Name | Jenna K Cole |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962777896 PECOS PAC ID: 2668634932 Enrollment ID: I20120502000552 |
Provider Name | Kristi Trimm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609019165 PECOS PAC ID: 9335395367 Enrollment ID: I20131106001966 |
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