Provider Demographics
NPI:1568028173
Name:TRINITY SURGICAL
Entity type:Organization
Organization Name:TRINITY SURGICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-487-7215
Mailing Address - Street 1:2052 ALEXANDRIA ROW
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-8558
Mailing Address - Country:US
Mailing Address - Phone:618-225-7689
Mailing Address - Fax:
Practice Address - Street 1:2052 ALEXANDRIA ROW
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-8558
Practice Address - Country:US
Practice Address - Phone:618-225-7689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty