Organization Active NPI

Trimana LLC

Doing business as Via Medical Center

  • Specialist
  • Fayetteville, AR
National Provider Identifier
1841600830
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TRIMANA LLC
Doing business as
Via Medical Center
Practice address
2875 E Joyce Blvd
Fayetteville, AR 72703-4524
Phone
(479) 966-4999
Fax
(479) 966-4987
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Shirranna M Todd, BA
Title
Owner/Operator
Phone
(479) 301-8829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2875 E Joyce Blvd
Fayetteville, AR 72703-4524

Mailing address

2875 E Joyce Blvd
Fayetteville, AR 72703-4524
Phone (479) 966-4999

Other names 1

  • Via Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trimana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1841600830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 E JOYCE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034524",
            "telephone_number": "479-966-4999",
            "fax_number": "479-966-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 E JOYCE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034524",
            "telephone_number": "479-966-4999",
            "fax_number": "479-966-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "SHIRRANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "479-301-8829",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Via Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.