NPIMap

Organization Active NPI

Trinity Health Clinic

Doing business as Borders-Blackwell Medical & Wellness Corporation

  • Clinic/Center
  • Cleveland, MS
National Provider Identifier
1720308604
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRINITY HEALTH CLINIC
Doing business as
Borders-Blackwell Medical & Wellness Corporation
Practice address
548 Rosemary Rd
Suite a
Cleveland, MS 38732-2075
Phone
(662) 588-3707
NPI assigned
Jun 2, 2010
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BORDERS-BLACKWELL MEDICAL & WELLNESS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Michelle Porter
Title
Revenue Coordinator
Phone
(662) 588-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

548 Rosemary Rd
Suite a
Cleveland, MS 38732-2075

Mailing address

548 Rosemary Rd
Suite a
Cleveland, MS 38732-2075
Phone (662) 588-3707

Other names 1

  • Borders-Blackwell Medical & Wellness Corporation Doing business as

National Provider Directory

National Provider Directory
Part of
Borders-Blackwell Medical

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1720308604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 ROSEMARY RD",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322075",
            "telephone_number": "662-588-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 ROSEMARY RD",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322075",
            "telephone_number": "662-588-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BORDERS-BLACKWELL MEDICAL & WELLNESS CORPORATION",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REVENUE COORDINATOR",
        "authorized_official_telephone_number": "662-588-3707"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borders-Blackwell Medical & Wellness Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.