NPIMap

Organization Active NPI

Trinity Clinic

Doing business as Trinity Clinic Lake Cypress Springs

  • Rural Health Clinic/Center
  • Scroggins, TX
National Provider Identifier
1427245166
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TRINITY CLINIC
Doing business as
Trinity Clinic Lake Cypress Springs
Practice address
175 Spur 3007
Scroggins, TX 75480-6403
Phone
(903) 860-3720
Fax
(903) 860-3771
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mary Ann Harrison, CPC, CMC
Title
Physician Clinic Support Coordinato
Phone
(903) 510-1113

Specialties & licenses 1

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

Addresses

Primary practice location

175 Spur 3007
Scroggins, TX 75480-6403

Mailing address

PO Box 5500
Tyler, TX 75712-5500
Phone (903) 324-6450

Other names 1

  • Trinity Clinic Lake Cypress Springs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Clinic25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1427245166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757125500",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SPUR 3007",
            "city": "SCROGGINS",
            "state": "TX",
            "postal_code": "754806403",
            "telephone_number": "903-860-3720",
            "fax_number": "903-860-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN CLINIC SUPPORT COORDINATO",
        "authorized_official_telephone_number": "903-510-1113",
        "authorized_official_credential": "CPC, CMC"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Clinic Lake Cypress Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scroggins, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.