TRINITY CLINIC NPI 1316061013

NPI Information

NPI: 1316061013
Provider Name: TRINITY CLINIC

Doing Business As: TRINITY CLINIC EMORY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
886 E LENNON DR
STE 105
EMORY, TX
ZIP 75440
Phone: (903) 473-3036
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TRINITY CLINIC is a rural health clinic center in Emory, TX. TRINITY CLINIC NPI is 1316061013. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Clinic Emory.

The provider's business location address is:

886 E LENNON DR
STE 105
EMORY, TX
ZIP 75440-214
Phone: (903) 473-3036
Fax: (903) 473-2007

The provider's authorized official is Mary Ann Harrison .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (903) 510-1113.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 4/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CP0098	OTHER	TEXAS	RAILROAD MEDICARE
2	673894	MEDICARE OSCAR/CERTIFICATION	TEXAS
3	091888002	MEDICAID	TEXAS
4	137940601	MEDICAID	TEXAS
5	177294904	MEDICAID	TEXAS
6	184554701	MEDICAID	TEXAS
7	00J629	MEDICARE PIN	TEXAS
8	0030PS	OTHER	TEXAS	BCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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