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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