# TRINITY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BORDERS-BLACKWELL MEDICAL & WELLNESS CORPORATION
- **Other names:** Borders-Blackwell Medical & Wellness Corporation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720308604
- **Legal business name:** BORDERS-BLACKWELL MEDICAL & WELLNESS CORPORATION
- **Authorized official:** MICHELLE PORTER (REVENUE COORDINATOR)
- **Authorized official phone:** (662) 588-3707

## Contact information

- **Practice address:** 548 ROSEMARY RD, SUITE A, CLEVELAND, MS 38732-2075
- **Practice address phone:** (662) 588-3707
- **Mailing address:** 548 ROSEMARY RD, SUITE A, CLEVELAND, MS 38732-2075
- **Mailing address phone:** (662) 588-3707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2010
- **Last updated:** 06/02/2010