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TRINA HEALTH OF BOONEVILLE, INC

Ambulatory Health Care Facilities Clinic/Center Infusion Therapy

Provider NPI: 1740646967

Organization Information:
Organization Name:  TRINA HEALTH OF BOONEVILLE, INC
Organization is not Subpart
Authorized Official:  CHRISTOPHER DAVID JONES  PRESIDENT  662-554-2955

Practice Location:
202 N 1ST ST SUITE B BOONEVILLE, MS 38829-2718 US
Tel: 662-554-2955  Fax: 662-728-3181

Business Mailing Address:
PO BOX 250  BOONEVILLE, MS 38829-0250 US
Tel: 662-554-2955  Fax: 662-728-3181

NPI Information:
NPI: 1740646967
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QI0500XAmbulatory Health Care Facilities
Clinic/Center
Infusion Therapy

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QI0500X

Type:

Classification:



Definition:



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