Organization Active NPI

Concordia Parish Hospital Service District Number One

Doing business as Trinity Medical Clinic

  • Rural Health Clinic/Center
  • Ferriday, LA
National Provider Identifier
1366029779
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Doing business as
Trinity Medical Clinic
Practice address
6569 Hwy 84
Ferriday, LA 71334
Phone
(318) 757-6551
NPI assigned
Mar 24, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Connie Lynn Vigil
Title
Credentialing Coordinator
Phone
(318) 757-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

6569 Hwy 84
Ferriday, LA 71334

Mailing address

PO Box 111
Ferriday, LA 71334-0111
Phone (318) 757-6551

Other names 1

  • TRINITY MEDICAL CLINIC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2103878Trinity Medical6569 Hwy 84, Ferriday, LA 71334Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
RMC Ferriday Clinic 15 organizations share this tax ID, including this one
Part of
RMC Ferriday Clinic 1

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1366029779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713340111",
            "telephone_number": "318-757-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 HWY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "71334",
            "telephone_number": "318-757-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "318-757-6551"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferriday, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.