CHRISTUS TRINITY CLINIC NPI 1134313083

NPI Information

NPI: 1134313083
Provider Name: CHRISTUS TRINITY CLINIC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: TRINITY CLINIC CANTON
CLIA Number: 45D0702440
Address: 18780 INTERSTATE 20
CANTON, TX
ZIP 75103
Phone: (903) 567-4841

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NPI Details

CHRISTUS TRINITY CLINIC is a rural health clinic center in Canton, TX. CHRISTUS TRINITY CLINIC NPI is 1134313083. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Clinic Canton.

The provider's business location address is:

18780 INTERSTATE 20
CANTON, TX
ZIP 75103-593
Phone: (903) 567-4841
Fax: (903) 567-2818

The provider's authorized official is John Christopher Glenney .
The authorized official title is Vp and has the following contact phone number (903) 606-4445.

The CLIA number assigned to this NPI record is 45D0702440 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 1/10/2020.

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	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	063683902	MEDICAID	TEXAS
2	131501	OTHER	TEXAS	SUPERIOR HEALTH
3	063683901	MEDICAID	TEXAS
4	673822	OTHER	TEXAS	MEDICARE PART A

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: 11/21/2025

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