| NPI | 1780190322 |
|---|---|
| Doing Business As | TRINITY MEDICAL VIDALIA CLINIC |
| Entity Type | Organization |
| Authorized Contact | NEKEISHA LASHAY SMITH Administrator 318-719-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-10-05 |