# TRINITY MOUNTAIN HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Home Care and Resource
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790470490
- **Authorized official:** MARIN KIRSTIN LACKEY (MANAGER)
- **Authorized official phone:** (208) 705-0879

## Contact information

- **Practice address:** 6154 N MEEKER PL STE 150, BOISE, ID 83713-0211
- **Practice address phone:** (208) 705-0879
- **Mailing address:** 440 CALLAWAY DR, CHUBBUCK, ID 83202-5079
- **Mailing address phone:** (208) 705-0879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 347E00000X | Transportation Broker | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2023
- **Last updated:** 10/13/2025
