Provider Demographics
NPI:1215641337
Name:TRINITY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:TRINITY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HINKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-416-9648
Mailing Address - Street 1:802 DEER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-5042
Mailing Address - Country:US
Mailing Address - Phone:386-416-9648
Mailing Address - Fax:
Practice Address - Street 1:802 DEER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-5042
Practice Address - Country:US
Practice Address - Phone:386-416-9648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)