| NPI | 1669063236 |
|---|---|
| Doing Business As | TRINITY COMMUNITY HEALTH CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JEAN CLAUDE MEDINA Advanced Practice Registered Nurse 754-217-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-05-10 |