Organization
TRILOGY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH BROWN (GENERAL MANAGER)
(314) 542-0022
Entity
Organization
Contact information
Practice address
1876 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4006
(314) 542-0022
(314) 317-9357
Mailing address
1876 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4006
(314) 542-0022
(314) 317-9357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
7583HH
MO
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5312350001
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5312350001
—
332BX2000X
Oxygen Equipment & Supplies (DME)
5312350001
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
2004020806
MO
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7583HH
STATE LICENSE HOME HEALTH
MO
Enumeration date
06/02/2009
Last updated
06/02/2009
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