Christus Trinity Clinic Texas

Organization Active NPI Rural Health Clinic/Center · Quitman, TX

NPI 1497949341 · NPPES record last updated Jul 17, 2026

Key facts

NPI
1497949341
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
CHRISTUS TRINITY CLINIC TEXAS
Practice address
502 E Goode St Ste 1E
Quitman, TX 75783-2539
Phone
(903) 763-5402
NPI assigned
Sep 4, 2007
Organization subpart
No

Authorized official

Name
Dr. Steven Keuer
Title
President
Phone
(903) 606-4445

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners 1,541

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,541

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0483673Christus Trinity Clinic-Quitman
502 E Goode Suite 1E, Quitman, TX 75783
Certificate of waiverFeb 18, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Rural health clinic certification: CCN 673823

Legal name
CHRISTUS TRINITY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 1, 2000
Last certification
Jun 18, 2019
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Oct 31, 1995 in TX
Enrollment address
502 E Goode St
Ste 1E
Quitman, TX 75783-2539

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William F Phillips
Individual
Corporate Director
Board Member
Jan 1, 2021
Christus Health
Organization · Irving, TX
Corporation, Non-profit, Chain home office
5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
William H Torres
Individual
Corporate Director
Board Member
Jan 1, 2018
Brandon T Hamisch
Individual
Corporate Director
Board Member
Jan 1, 2022
Susan Kemp
Individual
Corporate Director
Board Member
Jan 1, 2022
James D Doughtie
Individual
Corporate Director
Board Member
Jan 1, 2018
Warren Anthony Albrecht
Individual
Corporate Director
Board Member
Jan 1, 2022
Jonathan T Brown
Individual
Corporate Director
Board Member
Jan 1, 2022
Marisa E Emmons
Individual
Corporate Director
Board Member
Mar 1, 2020
Robert Karl
Individual
Corporate Officer
VP, Cfo
Jan 1, 2022
W-2 Managing Employee Jan 1, 2022
Laura E O 'Halloran
Individual
Corporate Director
Board Member
Jan 1, 2021
John C McDonald
Individual
Corporate Director
Vice Chairman
Jan 1, 2019
Sushama S Brimmer
Individual
Corporate Director
Board Member
Jan 1, 2018
Jennifer Lane Beal
Individual
Corporate Officer
Cao
Oct 22, 2021
W-2 Managing Employee Oct 22, 2021
Linda Ray
Individual
Corporate Director
Board Member
Mar 1, 2020
Audrey Webber
Individual
Corporate Director
Board Secretary
Aug 22, 2024
Suman K Sinha
Individual
Corporate Director
Board Member
Jan 1, 2018
Fadi V Nasrallah
Individual
Corporate Director
Board Member
Jan 1, 2019
Steven P Keuer
Individual
Corporate Officer
President
Oct 1, 2010
Peter a Sirianni
Individual
Corporate Director
Board Member
Jan 1, 2019
James G Hoff
Individual
Corporate Director
Board Member
Jan 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071205000514 TX Part a Provider - Rural Health Clinic 3072426741 Practice locations: Quitman, TX

National Provider Directory

Part of
Tyler Radiologist

Locations

502 E Goode St
#1E
Quitman, TX 75783
Phone (903) 763-5402

502 E Goode St
Ste 1E
Quitman, TX 75783
Phone (903) 763-5402

Specialties & licenses

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

Addresses

Primary practice location

502 E Goode St Ste 1E
Quitman, TX 75783-2539

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 510-1113

Other identifiers

IdentifierTypeStateIssuer
131498OtherTXSUPERIOR HEALTH

Other names

  • TRINITY CLINIC QUITMAN Doing business as

Other providers in Quitman, TX

All providers in Quitman, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.