Organization Active NPI

Christus Trinity Clinic

  • Durable Medical Equipment & Medical Supplies
  • Bossier City, LA
National Provider Identifier
1295462596
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Nov 17, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1091520030OtherNSC

Other names 1

  • Airline Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctcpe@christushealth.org

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.