Trinity Healthcare Recruiting Corp

Primary specialty

ContractorTaxonomy code 171W00000X

License

07-15806 Issued in GA

Legal business name

TRINITY HEALTHCARE RECRUITING CORP

Practice address

242 Coastal Hwy Suite 100
Prime Care Medical BLDG
Midway, GA 31320

Phone

(912) 884-6490

Fax

(912) 884-6495

NPI assigned

Jan 11, 2008

Last updated

Jan 11, 2008By 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

Mrs. Barbara J Wallace

Title

Ceo

Phone

(912) 884-6490

Specialties & licenses 1

Addresses

Other names 1

• Trinity HealthCare Other name

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1467638221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OGEECHEE ROAD",
            "address_2": "SUITE 200 PO BOX 273",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-884-6490",
            "fax_number": "912-884-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 COASTAL HWY SUITE 100",
            "address_2": "PRIME CARE MEDICAL BLDG",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "31320",
            "telephone_number": "912-884-6490",
            "fax_number": "912-884-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTHCARE RECRUITING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-884-6490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "07-15806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity HealthCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Contractor in Midway, GA
• Providers in Midway, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.