SOUTHERN TRINITY HEALTH SERVICES NPI 1568905560

NPI Information

NPI: 1568905560
Provider Name: SOUTHERN TRINITY HEALTH SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
500 B STREET SUITE B
SCOTIA, CA
ZIP 95565
Phone: (707) 574-6616
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SOUTHERN TRINITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Scotia, CA. SOUTHERN TRINITY HEALTH SERVICES NPI is 1568905560. The provider is registered as an organization entity type.

The provider's business location address is:

500 B STREET SUITE B
SCOTIA, CA
ZIP 95565
Phone: (707) 574-6616

The provider's authorized official is Graylan Lupton .
The authorized official title is Chief Financial Officer and has the following contact phone number (707) 764-5617.

The enumeration date for this NPI number is 11/22/2016 and was last updated on 4/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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