Organization Active NPI

Trinity Clinic

Doing business as Trinity Clinic Sulphur Springs

  • Rural Health Clinic/Center
  • Sulphur Springs, TX
National Provider Identifier
1790974251
Registry record updated Sep 25, 2012
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 Sulphur Springs
Practice address
113 Airport Rd
Ste 200
Sulphur Springs, TX 75482-2105
Phone
(903) 439-3285
NPI assigned
Oct 22, 2007
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

113 Airport Rd
Ste 200
Sulphur Springs, TX 75482-2105

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other names 1

  • Trinity Clinic Sulphur Springs 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
45D1084594Trinity Clinic113 Airport Rd Ste 200, Sulphur Springs, TX 75482Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory
Part of
Tyler Radiologist

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1790974251",
    "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": "113 AIRPORT RD",
            "address_2": "STE 200",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822105",
            "telephone_number": "903-439-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CLINIC",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-09-25",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Clinic Sulphur Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.