CHRISTUS TRINITY CLINIC (NPI# 1396939146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396939146 |
| Entity Type | Organization |
| Organization Name | CHRISTUS TRINITY CLINIC |
| Other Organization Name | CHRISTUS TRINITY CLINIC HOLLY LAKE |
| Practice Address |
5321 S Fm 14 Hawkins TX 75765-4839 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9037692990 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | JOHN CHRISTOPHER GLENNEY (VP) |
| Authorized Official Telephone | 9036064445 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 179427301 | 05 | |
| TX | MEDICARE PART A | 673886 | 01 |
| TX | SUPERIOR HEALTH | 143621 | 01 |
| Other Name | Type Code |
|---|---|
| CHRISTUS TRINITY CLINIC HOLLY LAKE | Doing Business As Name - Organization |
| TRINITY CLINIC HOLLY LAKE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033641105 | Christus Trinity Clinic | Clinic/Center | 650 E Lennon Dr, Emory, TX 75440-3227 | 2017-03-29 |
| 1942732011 | Christus Trinity Clinic | Clinic/Center | 105 Medical Plz # II, Sulphur Springs, TX 75482-2136 | 2017-03-29 |
| 1275727125 | Christus Trinity Clinic | Clinic/Center | 1302 N Pacific St, Mineola, TX 75773-1022 | 2007-09-04 |
| 1134313083 | Christus Trinity Clinic | Clinic/Center | 18780 Interstate 20, Canton, TX 75103-3593 | 2007-09-04 |
| 1497949341 | Christus Trinity Clinic | Clinic/Center | 502 E Goode St Ste 1e, Quitman, TX 75783-2539 | 2007-09-04 |
| 1285684225 | Christus Trinity Clinic | Anesthesiology | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2006-05-11 |
| Street Address |
5321 S FM 14 |
| City | HAWKINS |
| State | TX |
| Zip Code | 75765-4839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568554707 | Yvette Levingston | Nurse Practitioner | 5321 S Fm 14, Hawkins, TX 75765-4839 | 2006-09-28 |
| 1801350525 | Jessica Dawn Havir | Nurse Practitioner | 5321 S Fm 14, Hawkins, TX 75765-4839 | 2019-01-27 |
| 1104209196 | Heather Marie Sheppard | Nurse Practitioner | 5321 S Fm 14, Hawkins, TX 75765-4839 | 2015-07-08 |
| 1861830408 | Kiona P Coleman | Family Medicine | 5321 S Fm 14, Hawkins, TX 75765-4839 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987071 | Committed 2 Me Counseling Center, LLC | Community/Behavioral Health | 105 E. Blackbourn, Hawkins, TX 75765 | 2020-09-21 |
| 1013526375 | Margaret Vaughan | Registered Nurse | 408 Cr 3900, Hawkins, TX 75765 | 2020-07-23 |
| 1235794785 | Rebecca A Alexander | Occupational Therapist | 620 Pr 7844, Hawkins, TX 75765 | 2019-05-09 |
| 1821401738 | Carroll Partners Investment Inc | Assisted Living Facility | 698 North Beaulah St, Hawkins, TX 75765 | 2014-06-09 |
| 1427386408 | Stenet Palmer Frost | Counselor | 122 Beaulah, Hawkins, TX 75765 | 2009-12-02 |
| 1063558542 | Leah Kathryn Mosse | Counselor | 145 Beaulah, Hawkins, TX 75765 | 2007-01-30 |
| 1407886930 | Shane M Bogard | Chiropractor | 145 N Beaulah, Hawkins, TX 75765 | 2006-07-03 |
| 1285801936 | Shane M Bogard | Chiropractor | 145 N Beaulah, Hawkins, TX 75765 | 2008-05-13 |
| 1588155485 | Juliua Daniels Williams | Registered Nurse | 669 Francis St, Hawkins, TX 75765-2755 | 2018-05-25 |
| 1518460377 | Laura Ann Keck | Registered Nurse | 129 Rodney St, Hawkins, TX 75765-2767 | 2018-03-17 |
| Find all providers in zip 75765 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 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 |
| 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.