TRINITY CLINIC (NPI# 1982936936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982936936 |
| Entity Type | Organization |
| Organization Name | TRINITY CLINIC |
| Other Organization Name | TRINITY CLINIC HENDERSON 1 |
| Practice Address |
500 N Marshall St Henderson TX 75652-5932 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9036571653 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2015-04-20 |
| Authorized Official Name | MARY ANN HARRISON (PHYSICIAN CLINIC SUPPORT COORDINATO) |
| Authorized Official Telephone | 9035101113 |
| Authorized Official Credential | CPC CMC |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY CLINI |
| 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 Henderson 1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
500 N MARSHALL ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-5932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326600974 | Brock Medical, LLC | Clinic/Center | 230 N Green St, Henderson, KY 42420-3109 | 2019-07-03 |
| 1639345952 | The Grove Primary Care Clinic LLC | Clinic/Center | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 | 2008-05-06 |
| 1760676613 | Trinity Clinic | Clinic/Center | 511 N High St, Henderson, TX 75652-5985 | 2007-09-04 |
| 1942779509 | West Tennessee Primary Care, LLC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2018-11-13 |
| 1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
| 1073906616 | Apex Cardiology PC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2015-03-06 |
| 1376777649 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1245464536 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1891929840 | Kentucky Homecare of Henderson, LLC | Clinic/Center | 505 Klutey Park Plaza Dr, Suite A, Henderson, KY 42420-5224 | 2009-05-06 |
| 1396788113 | Henderson Memorial Hospital | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2006-06-13 |
| Find all providers in HENDERSON | ||||
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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.