CHRISTUS TRINITY CLINIC NPI 1396939146

NPI Information

NPI: 1396939146
Provider Name: CHRISTUS TRINITY CLINIC

Doing Business As: CHRISTUS TRINITY CLINIC HOLLY LAKE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
5321 S FM 14
HAWKINS, TX
ZIP 75765
Phone: (903) 769-2990
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CHRISTUS TRINITY CLINIC is a rural health clinic center in Hawkins, TX. CHRISTUS TRINITY CLINIC NPI is 1396939146. The provider is registered as an organization entity type.
The provider Is Doing Business As Christus Trinity Clinic Holly Lake.

The provider's business location address is:

5321 S FM 14
HAWKINS, TX
ZIP 75765-839
Phone: (903) 769-2990

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 45D1039815 - rural health clinic with a certificate type of Certificate of Waiver.

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	179427301	MEDICAID	TEXAS
2	673886	OTHER	TEXAS	MEDICARE PART A
3	143621	OTHER	TEXAS	SUPERIOR HEALTH

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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