# EAST TEXAS MEDICAL CENTER TRINITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821063553
- **Authorized official:** MR. SAMUEL L BROWN (REGIONAL CFO)
- **Authorized official phone:** (903) 946-5520

## Contact information

- **Practice address:** 317 PROSPECT DR, TRINITY, TX 75862-6202
- **Practice address phone:** (936) 594-3541
- **Practice address fax:** (936) 744-1185
- **Mailing address:** PO BOX 1304, PITTSBURG, TX 75686-2203
- **Mailing address phone:** (936) 744-1123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 000287 | TX | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 08/04/2014