-Trinity Integrative Medicine
Organization Active NPI Emergency Medicine Physician · Jeffersonville, IN
NPI 1821334673 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1821334673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01046661A (IN)
- Legal business name
- -TRINITY INTEGRATIVE MEDICINE
- Practice address
- 100 West Court St
Trinity Integrative Medicine LLC
Jeffersonville, IN 47130 - Phone
- (859) 468-5065
- NPI assigned
- Dec 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Rafael Cruz, MD
- Title
- Owner
- Phone
- (859) 468-5065
National Provider Directory
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJCAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 01046661A | IN | Yes |
| Emergency Care Clinic/Center | 261QE0002X | 37305 | KY |
Addresses
Primary practice location
100 West Court St
Trinity Integrative Medicine LLC
Jeffersonville, IN 47130
Mailing address
14 Redgate CT
Silver Spring, MD 20905-5726
Phone (301) 989-0548
Other providers in Jeffersonville, IN
All providers in Jeffersonville, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.