Organization
EAST TEXAS MEDICAL CENTER TRINITY
Active
Organization
EAST TEXAS MEDICAL CENTER TRINITY
Active
Other names
ETMC Trinity Community RHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL L BROWN (REGIONAL CFO)
(903) 946-5520
Entity
Organization
Contact information
Practice address
315 PROSPECT DR, TRINITY, TX 75862-6202
(936) 594-3595
(936) 594-2418
Mailing address
PO BOX 1304, PITTSBURG, TX 75686-2203
(936) 594-3595
(936) 594-2418
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121817402
—
TX
Enumeration date
02/21/2006
Last updated
08/04/2014
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