# EAST TEXAS MEDICAL CENTER TRINITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY HEALTH CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912060526
- **Authorized official:** MR. TERRY CUTLER (ADMINISTRATOR)
- **Authorized official phone:** (936) 546-3862

## Contact information

- **Practice address:** 317 PROSPECT, TRINITY, TX 75862
- **Practice address phone:** (936) 594-3541
- **Practice address fax:** (936) 546-3816
- **Mailing address:** 317 PROSPECT, TRINITY, TX 75862
- **Mailing address phone:** (936) 594-3541
- **Mailing address fax:** (936) 546-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/22/2020