TRINITY CLINIC (NPI# 1427245166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427245166 |
| Entity Type | Organization |
| Organization Name | TRINITY CLINIC |
| Other Organization Name | TRINITY CLINIC LAKE CYPRESS SPRINGS |
| Practice Address |
175 Spur 3007 Scroggins TX 75480-6403 |
| Mailing Address |
Po Box 5500 Tyler TX 75712-5500 |
| Practice Telephone | 9038603720 |
| Practice Fax Number | 9038603771 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | MARY ANN HARRISON (PHYSICIAN CLINIC SUPPORT COORDINATO) |
| Authorized Official Telephone | 9035101113 |
| Authorized Official Credential | CPC, CMC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Trinity Clinic Lake Cypress Springs | 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 |
| 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 |
| 1659322733 | Trinity Clinic | Psychiatry & Neurology | 3300 S. Broadway, Suite 102, Tyler, TN 75701 | 2006-05-13 |
| 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 |
175 SPUR 3007 |
| City | SCROGGINS |
| State | TX |
| Zip Code | 75480-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396250197 | Suzanne Gay Magee | Registered Nurse | 21 Cr Se 4396, Scroggins, TX 75480 | 2017-12-04 |
| 1013129501 | Medrec, Inc | Nursing Care | 574 Tally Ho, Fairfield, TX 75480 | 2007-05-04 |
| 1598253775 | Joy Lynne Pye | Registered Nurse | 9027 Farm Road 115, Scroggins, TX 75480-5611 | 2018-04-24 |
| 1275047185 | Nicki Charie Magee | Registered Nurse | 21 County Road Se 4396, Scroggins, TX 75480-6914 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253775 | Joy Lynne Pye | Registered Nurse | 9027 Farm Road 115, Scroggins, TX 75480-5611 | 2018-04-24 |
| 1396250197 | Suzanne Gay Magee | Registered Nurse | 21 Cr Se 4396, Scroggins, TX 75480 | 2017-12-04 |
| 1275047185 | Nicki Charie Magee | Registered Nurse | 21 County Road Se 4396, Scroggins, TX 75480-6914 | 2017-11-30 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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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.