Active NPI
Christus Trinity Clinic
- Durable Medical Equipment & Medical Supplies
- Bossier City, LA
National Provider Identifier
1295462596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CHRISTUS TRINITY CLINIC
- Practice address
- 2151 Airline Dr Ste 700
Bossier City, LA 71111-3398 - Phone
- (318) 798-3763
- NPI assigned
- Aug 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Karl, CPA, MPA
- Title
- VP, Cfo
- Phone
- (469) 282-2611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2151 Airline Dr Ste 700
Bossier City, LA 71111-3398
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1091520030 | Other | NSC |
Other names 1
- Airline
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ctcpe@christushealth.org |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668643200000",
"number": "1295462596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 AIRLINE DR STE 700",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711113398",
"telephone_number": "318-798-3763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTUS TRINITY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A",
"authorized_official_last_name": "KARL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "VP, CFO",
"authorized_official_telephone_number": "469-282-2611",
"authorized_official_credential": "CPA, MPA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC",
"identifier": "1091520030",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ctcpe@christushealth.org",
"affiliation": "N",
"address_1": "2151 Airline Dr Ste 700",
"city": "Bossier City",
"state": "LA",
"country_code": "US",
"postal_code": "711113398",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Airline",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Airline",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.