TRINITY CLINIC (NPI# 1316198310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316198310 |
Entity Type | Organization |
Organization Name | TRINITY CLINIC |
Other Organization Name | TRINITY CLINIC LINDALE |
Practice Address |
3203 S Main St Lindale TX 75771-7727 |
Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
Practice Telephone | 9038820991 |
Practice Fax Number | 9038827751 |
Mailing Telephone | 9033246640 |
Enumeration Date | 2008-10-08 |
Last Update Date | 2012-09-25 |
Authorized Official Name | MARY ANN HARRISON (PROVIDER ENROLLMENT COORDINATOR) |
Authorized Official Telephone | 9035101113 |
Authorized Official Credential | CPC CMC |
Is Organization Subpart | Y |
Parent Organization Name | TRINITY CLINIC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Trinity Clinic Lindale | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982936936 | Trinity Clinic | Clinic/Center | 500 N Marshall St, Henderson, TX 75652-5932 | 2010-02-02 |
1982859377 | Trinity Clinic | Clinic/Center | 803 Hwy 31 East, Chandler, TX 75758-0373 | 2008-11-26 |
1942455654 | Trinity Clinic | Clinic/Center | 1505 Hwy 19 South, Athens, TX 75751-8950 | 2008-11-21 |
1144493107 | Trinity Clinic | Clinic/Center | 866 E. Lennon Dr, Ste 105, Emory, TX 75440-3214 | 2008-04-10 |
1922276435 | Trinity Clinic | Podiatrist | 1034 Clinic Dr, Tyler, TX 75701-2050 | 2008-02-19 |
1427245166 | Trinity Clinic | Clinic/Center | 175 Spur 3007, Scroggins, TX 75480-6403 | 2007-09-26 |
1760676613 | Trinity Clinic | Clinic/Center | 511 N High St, Henderson, TX 75652-5985 | 2007-09-04 |
1174742902 | Trinity Clinic | Chiropractor | 4236 Nw Expressway St, Suite 118, Oklahoma City, OK 73116-1588 | 2007-04-24 |
1861618779 | Trinity Clinic | Clinic/Center | 307 Woodlawn, Kilgore, TX 75662-3624 | 2007-04-18 |
1558399592 | Trinity Clinic | Anesthesiology | 800 East Dawson St, Tyler, TN 75701 | 2006-06-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | TRINITY CLINICAL CONSULTING GROUP, LLC | 285 S Englewood Dr, Baton Rouge, LA 70810-5004 |
Street Address |
3203 S MAIN ST |
City | LINDALE |
State | TX |
Zip Code | 75771-7727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465755 | Russell Bell | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2005-05-23 |
1649719147 | Misty Lynn Baggett | Nurse Practitioner | 3203 S Main St, Lindale, TX 75771-7727 | 2017-02-16 |
1588058259 | Miranda Nechol Sims | Nurse Practitioner | 3203 S Main St, Lindale, TX 75771-7727 | 2015-03-20 |
1760885198 | Lisa Ferguson | Nurse Practitioner | 3203 S Main St, Lindale, TX 75771-7727 | 2014-09-30 |
1568874824 | Hayden Head | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2014-05-21 |
1609288091 | Carah Howe | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2014-05-20 |
1457587933 | Taryn Hope | Physician Assistant | 3203 S Main St, Lindale, TX 75771 | 2009-06-10 |
1639296213 | Mother Frances Hospital | Clinic/Center | 3203 S Main St, Lindale, TX 75771-7727 | 2007-03-26 |
1538292453 | Mother Frances Hospital | Radiology | 3203 S Main St, Lindale, TX 75771-7727 | 2007-03-13 |
1295865533 | Judy Marie Niell | Physician Assistant | 3203 S Main St, Lindale, TX 75771-7727 | 2007-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558915017 | Stephanie Michelle Christian | Licensed Vocational Nurse | 1376 Bridle Path Lane, Hideaway, TX 75771 | 2019-08-01 |
1831684349 | Andrew Bednarek | Counselor | 1510 S. Vine Street, Tyler, TX 75771 | 2018-06-27 |
1891287579 | Lindale Smiles | Dentist | 120 E Centennial Boulevard, Suite 302, Lindale, TX 75771 | 2018-05-30 |
1801396643 | Barbara Sue Warren | Registered Nurse | 15498 County Road 4140, Lindale, TX 75771 | 2018-02-19 |
1568900876 | Kathryn D. Ketter Dba Snider Adult Foster Care | Custodial Care Facility | 16337 Esther Rd, Lindale, TX 75771 | 2017-02-07 |
1932556578 | Zenith Hospice Care Inc | Hospice Care, Community Based | 700 N Main Street, Lindale, TX 75771 | 2016-05-23 |
1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
1487776514 | Lindale Isd | Local Education Agency (LEA) | 402 West North St, Lindale, TX 75771 | 2007-04-06 |
1881745537 | B Clay Keith Dds Pa | Dentist | 410 Eagle Spirit Drive, Lindale, TX 75771 | 2007-01-16 |
1992873715 | Champagne Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N. Main Street, Lindale, TX 75771 | 2006-12-01 |
Find all providers in zip 75771 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.