EAST TEXAS MEDICAL CENTER TRINITY (NPI# 1043469638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043469638 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER TRINITY |
| Other Organization Name | ETMC COMMUNITY HEALTH CLINIC |
| Practice Address |
315 Prospect Dr Trinity TX 75862-6202 |
| Mailing Address |
315 Prospect Drive P O Box 3169 Trinity TX 75862-3169 |
| Practice Telephone | 9365943595 |
| Practice Fax Number | 9365443816 |
| Mailing Telephone | 9365943595 |
| Mailing Fax Number | 9365443816 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2009-07-21 |
| Authorized Official Name | MR. TERRY CULTER (ADMINISTRATOR) |
| Authorized Official Telephone | 9365463862 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 450749 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 079826601 | 05 |
| Other Name | Type Code |
|---|---|
| ETMC COMMUNITY HEALTH CLINIC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467787648 | East Texas Medical Center Trinity | Internal Medicine | 317 Prospect Drive, Trinity, TX 75862 | 2009-10-06 |
| 1912060526 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect, Trinity, TX 75862 | 2006-12-18 |
| 1548235906 | East Texas Medical Center Trinity | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-21 |
| 1821063553 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-17 |
| 1316386022 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect Dr, Trinity, TX 75862-6202 | 2013-06-17 |
| 1699113068 | East Texas Medical Center Trinity | Clinic/Center | 317 Prospect Dr, Trinity, TX 75862-6202 | 2013-06-07 |
| 1477812550 | East Texas Medical Center Trinity | Orthopaedic Surgery | 317 Prospect Dr, Trinity, TX 75862-6202 | 2012-05-10 |
| Street Address |
315 PROSPECT DR |
| City | TRINITY |
| State | TX |
| Zip Code | 75862-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548235906 | East Texas Medical Center Trinity | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-21 |
| 1083194138 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2018-08-17 |
| 1679877161 | Lawrence Quan M.d.p.a | Family Medicine | 315 Prospect Dr, P.o. 672, Trinity, TX 75862-6202 | 2010-12-27 |
| 1922140615 | Amol Sudhakar Deshpande | Pediatrics | 315 Prospect Dr, Trinity, TX 75862-6202 | 2007-02-12 |
| 1023112299 | David Alan Price | Physician Assistant | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-09-11 |
| 1144252800 | Lawrence Quan | Family Medicine | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215426473 | Linda Darnell Shaw | Licensed Vocational Nurse | 139 Pineland Dr, Trinity, TX 75862 | 2018-05-03 |
| 1942668280 | Elizabeth Jane Wilhite | Nurse Practitioner | 303 S Robb Street, Trinity, TX 75862 | 2016-02-01 |
| 1124428842 | Martin Senior Citizens Center, Inc. | In Home Supportive Care | 400 Walker Street, Trinity, TX 75862 | 2014-08-29 |
| 1649679135 | Nkechinyere Onwumere | Family Medicine | 714 South Robb Street, Trinty, TX 75862 | 2014-08-20 |
| 1023454329 | Abby L Warren-curtis | Dietitian, Registered | 312 Glendale Cem. Rd., Trinity, TX 75862 | 2013-05-14 |
| 1467787648 | East Texas Medical Center Trinity | Internal Medicine | 317 Prospect Drive, Trinity, TX 75862 | 2009-10-06 |
| 1821222837 | Stability Solutions, LLC | Prosthetic/Orthotic Supplier | 108 S. Robb, Suite #4, Trinity, TX 75862 | 2009-05-05 |
| 1669590220 | Cora A Armelin | Occupational Therapist | 103 Eva St, Trinity, TX 75862 | 2007-03-26 |
| 1912060526 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect, Trinity, TX 75862 | 2006-12-18 |
| 1871116715 | Sunhee Kim | Pharmacist | 507 S Robb St Ste B, Trinity, TX 75862 | 2020-05-27 |
| Find all providers in zip 75862 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060526 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect, Trinity, TX 75862 | 2006-12-18 |
| 1891741849 | New Port Richey Hospital Inc | General Acute Care Hospital | 9330 State Road 54, Trinity, FL 34655-1808 | 2006-05-25 |
| 1821063553 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-17 |
| 1003351198 | Trinity Memorial Hospital District | General Acute Care Hospital | 317 Prospect Dr, Trinity, TX 75862-6202 | 2016-12-27 |
| 1316386022 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect Dr, Trinity, TX 75862-6202 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
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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.