| Trinity Health Connections, Inc | |
|
25882 Orchard Lake Rd Suite L-5 Farmington Hills MI 48336-1292 | |
| (248) 426-7299 | |
| (248) 325-5846 |
| Full Name | Trinity Health Connections, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 25882 Orchard Lake Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Timothy Chapman (CEO) |
| Authorized Official Contact | 2484267299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health Connections, Inc Po Box 8171 Bloomfield Hills MI 48302-8171 Ph: (248) 426-7299 | Trinity Health Connections, Inc 25882 Orchard Lake Rd Suite L-5 Farmington Hills MI 48336-1292 Ph: (248) 426-7299 |
| NPI Number | 1003277229 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Medicare PECOS PAC ID | 7315236338 |
|---|---|
| Medicare Enrollment ID | O20160516000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003277229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4301076878 (Michigan) | Primary |
| Provider Name | Timothy Lamar Chapman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023056199 PECOS PAC ID: 0244294957 Enrollment ID: I20041112000769 |
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