# TRINITY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710541669
- **Authorized official:** MR. JONATHAN BERRYHILL (CEO)
- **Authorized official phone:** (256) 667-3708

## Contact information

- **Practice address:** 500 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5126
- **Practice address phone:** (256) 667-3708
- **Practice address fax:** (888) 386-3128
- **Mailing address:** 2245 COUNTY ROAD 93, ANDERSON, AL 35610-4125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 08/05/2020
