Trillium Medical Group Of Virginia in Tampa - Rural Health
Trillium Medical Group Of Virginia - NPI 1164623211
Trillium Medical Group Of Virginia is a Rural Health in Tampa, Florida. Trillium Medical Group Of Virginia practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Trillium Medical Group Of Virginia is 1164623211. The last update date is 2020-08-22.
Trillium Medical Group Of Virginia's current location address is Po Box 23788, Tampa, Florida. You can contact this provider via phone number 8007508103 and fax number 8667880863. The mailing address for Trillium Medical Group Of Virginia is Po Box 23788, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Trillium Medical Group Of Virginia |
---|---|
Address | Po Box 23788, Tampa, Florida |
Phone Number | 8007508103 |
Fax Number | 8667880863 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Coates L Bobby |
Telephone Number | 7274035221 |
NPI Number Detail
NPI Number | 1164623211 |
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Provider Enumeration Date | 2007-05-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 23788 |
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City | Tampa |
State | Florida (FL) |
Post Code | 336233788 |
Phone Number | 8007508103 |
Fax Number | 8667880863 |
Provider's Primary Taxonomy Detail
Speciality | Rural Health |
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Taxonomy | 261Qr1300X |
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
202887 | VA | FEDERAL BLACK LUNG |
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What is the unique 10-digit identification code assigned to Trillium Medical Group Of Virginia by the Centers for Medicare & Medicaid Services?
The Trillium Medical Group Of Virginia has been issued the NPI (National Provider Identifier) 1164623211, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Trillium Medical Group Of Virginia's physical address?
The Trillium Medical Group Of Virginia is physically located at Po Box 23788, in the city of Tampa, FL, with the postal code 336233788.
What is Trillium Medical Group Of Virginia's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Trillium Medical Group Of Virginia is Rural Health, and the taxonomy code that categorizes this field of expertise is 261Qr1300X.
On what date did the Trillium Medical Group Of Virginia receive its 1164623211 assignment from the Centers for Medicare & Medicaid Services?
The Trillium Medical Group Of Virginia was assigned its 1164623211 by the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the Trillium Medical Group Of Virginia's information last updated?
The Trillium Medical Group Of Virginia's information was last updated on 2020-08-22.