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Organization
TRINITY COMMUNITY MEDICAL CLINIC
Active
Organization
TRINITY COMMUNITY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY E MARTINEZ (CONSULTANT)
(504) 417-3728
Entity
Organization
Contact information
Practice address
8451 HIGHWAY 23 STE 1, BELLE CHASSE, LA 70037-2594
(504) 417-3728
Mailing address
8451 HIGHWAY 23 STE 1, BELLE CHASSE, LA 70037-2594
(504) 417-3728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
163WC1500X
Community Health Registered Nurse
—
NULL
163WC1500X
Community Health Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
NULL
163WG0000X
General Practice Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
COMMERCIAL INSURANCE
LA
05
—
05
—
LA
Enumeration date
08/26/2021
Last updated
01/11/2022
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