Organization
CHRISTUS TRINITY CLINIC
Active
Parent organization
TRINITY CLINIC
Other names
TRINITY CLINIC QUITMAN, CHRISTUS TRINITY CLINIC QUITMAN RHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY CLINIC
Authorized official
JOHN CHRISTOPHER GLENNEY (VP)
(903) 606-4445
Entity
Organization
Contact information
Practice address
502 E GOODE ST STE 1E, QUITMAN, TX 75783-2539
(903) 763-5402
(903) 763-5036
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063683902
—
TX
05
—
063684701
—
TX
01
—
131498
SUPERIOR HEALTH
TX
01
—
673823
MEDICARE PART A
TX
Enumeration date
09/04/2007
Last updated
01/10/2020
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