Trinity Valley Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRINITY VALLEY MEDICAL SUPPLY, LLC

Practice address

416 S Palestine St
Suite G
Athens, TX 75751-2537

Phone

(903) 681-0898

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Rackley

Title

Owner

Phone

(903) 681-0898

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427080258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757511627",
            "telephone_number": "903-681-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S PALESTINE ST",
            "address_2": "SUITE G",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512537",
            "telephone_number": "903-681-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY VALLEY MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RACKLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-681-0898"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendy Pabren Tolbert, PHARM. D.
• Devin Danielle Tompkins, DDS
• Jacqueline Ann Torell, M.D.
• Irene Torres
• Trinity Clinic (Trinity Clinic Athens)
• Romya Turner, LSW
• Chijioke David Ukoha Jr.
• Tenna Underhill, LCSW
• United Seating and Mobility LLC (Numotion)
• Urology Center of East Texas, P.a.

• Durable Medical Equipment & Medical Supplies in Athens, TX
• Providers in Athens, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.