NPIMap

Christus Trinity Clinic

Organization Active NPI Durable Medical Equipment & Medical Supplies · Shreveport, LA

NPI 1891422192 · NPPES record last updated Aug 5, 2022

Key facts

NPI
1891422192
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CHRISTUS TRINITY CLINIC
Practice address
9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137
Phone
(318) 629-3763
NPI assigned
Aug 5, 2022
Organization subpart
No

Authorized official

Name
Robert Karl, CPA, MPA
Title
VP, Cfo
Phone
(469) 282-2611

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 24

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

Practitioners 1,540

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

View all 1,540

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
19D2044117Christus Trinity Clinic
9300 Mansfield Road, Suite 110, Shreveport, LA 71118		Certificate of waiverJul 19, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20221123000004 LA DME Supplier - Physician - General Practice 3072426741 Practice locations: Shreveport, LA

National Provider Directory

Tax ID family
Tyler Radiologist (25 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137

Mailing address

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

Other names

  • Mansfield Other name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ctcpe@christushealth.org

Other providers in Shreveport, LA

All providers in Shreveport, LA · Durable Medical Equipment & Medical Supplies in Louisiana

Sources for this page

Verify at the official NPI Registry.