NPIMap

Organization Active NPI

Trinity Mobile Health Clinic

  • Student Health Clinic/Center
  • Macon, MS
National Provider Identifier
1235401084
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
TRINITY MOBILE HEALTH CLINIC
Practice address
15865 Highway 14 West
Macon, MS 39341-2453
Phone
(662) 435-7800
NPI assigned
Feb 8, 2012
Last updated
Jun 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY SPECIALTY CARE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Felicia Edwards
Title
Managing Partner
Phone
(662) 435-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MS
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

15865 Highway 14 West
Macon, MS 39341-2453

Mailing address

PO Box 95
Crawford, MS 39743-0095

National Provider Directory

National Provider Directory
Tax ID family
Trinity Mobile Health Clinic2 organizations share this tax ID, including this one
Part of
Trinity Mobile Health Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1235401084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "CRAWFORD",
            "state": "MS",
            "postal_code": "397430095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15865 HIGHWAY 14 WEST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412453",
            "telephone_number": "662-435-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MOBILE HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY SPECIALTY CARE SERVICES INC",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "662-435-7800"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.