First Trinity Missionary Baptist Church

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

FIRST TRINITY MISSIONARY BAPTIST CHURCH

Practice address

1226 Beach St
Flint, MI 48502

Phone

(313) 443-7136

NPI assigned

Aug 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ezra Lee Tillman Jr., B.R.E, M.M.N

Title

Pastor

Phone

(313) 443-7136

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1104474329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48502",
            "telephone_number": "313-443-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48502",
            "telephone_number": "313-443-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST TRINITY MISSIONARY BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "EZRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "313-443-7136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.R.E, M.M.N"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Flint, MI
• Providers in Flint, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.