Clinic

LBN: Trinity Services Inc.
Clinic is an health care organization with primary practice located at 101 Hempstead Pl , Joliet IL 60433-1745. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty. Trinity Services Inc. can be contacted via phone (815) 485-4610, or through Taylor, Bob via phone (815) 320-7190.

Contact Information

Primary practice address
101 Hempstead Pl Joliet IL 60433-1745
Phone: (815) 485-4610
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Bob
Phone: (815) 320-7190

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1942750534
LBN Legal business name Trinity Services Inc.
DBA Doing business as Clinic
Authorized official Taylor, Bob
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 7th, 2016
Last updated May 20th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942750534 NPPES
Illinois MEDICAID 209012387

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