Active NPI
Trinity Clinic
- Rural Health Clinic/Center
- Henderson, TX
National Provider Identifier
1982936936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- TRINITY CLINIC
- Practice address
- 500 N Marshall St
Henderson, TX 75652-5932 - Phone
- (903) 657-1653
- NPI assigned
- Feb 2, 2010
- Organization subpart
- Yes
- Parent organization
- TRINITY CLINI
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
500 N Marshall St
Henderson, TX 75652-5932
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other names 1
- Trinity Clinic Henderson 1
National Provider Directory
National Provider Directory- Part of
- Tyler Radiologist
Locations
534 S Beckham Ave
Tyler, TX 75702
Phone (903) 324-6425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429488000000",
"number": "1982936936",
"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": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N MARSHALL ST",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756525932",
"telephone_number": "903-657-1653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRINITY CLINI",
"enumeration_date": "2010-02-02",
"last_updated": "2015-04-20",
"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 Henderson 1",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.