Organization
TRINITY MOBILE HEALTH CLINIC
Active
Parent organization
TRINITY SPECIALTY CARE SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY SPECIALTY CARE SERVICES INC
Authorized official
FELICIA EDWARDS (MANAGING PARTNER)
(662) 435-7800
Entity
Organization
Contact information
Practice address
15865 HIGHWAY 14 WEST, MACON, MS 39341-2453
(662) 435-7800
Mailing address
PO BOX 95, CRAWFORD, MS 39743-0095
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
MS
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
06/27/2012
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