Organization
EAST TEXAS MEDICAL CENTER TRINITY
Active
Other names
ETMC COMMUNITY HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY CULTER CEO (ADMINISTRATOR)
(936) 546-3862
Entity
Organization
Contact information
Practice address
315 PROSPECT DR, TRINITY, TX 75862-6202
(936) 594-3595
(936) 544-3816
Mailing address
315 PROSPECT DRIVE, P O BOX 3169, TRINITY, TX 75862-3169
(936) 594-3595
(936) 544-3816
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
450749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079826601
—
TX
Enumeration date
09/18/2008
Last updated
07/21/2009
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