TRINITY CLINIC NPI 1285684258

NPI Information

  • NPI: 1285684258
  • Provider Name: TRINITY CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: TRINITY CLINIC HENDERSON
  • Address: 500 N. MARSHALL
    HENDERSON, TN
    ZIP 75652
  • Phone: (903) 657-1653

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NPI Details

TRINITY CLINIC is a family medicine in Henderson, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRINITY CLINIC NPI is 1285684258. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Clinic Henderson.

The provider's business location address is:

500 N. MARSHALL
HENDERSON, TN
ZIP 75652
Phone: (903) 657-1653

The provider's authorized official is Mary Ann Harrison .
The authorized official title is Physician Clinic Support Coordinato and has the following contact phone number (903) 510-1113.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 7/7/2022.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207Q00000XFamily MedicineYes

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
1138737503MEDICAIDTEXAS

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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