| Trinity Health Clinic | |
|
321 S Sharpe Ave Post Office Box 1998 Cleveland MS 38732 | |
| (662) 843-8700 | |
| (662) 843-9100 |
| Full Name | Trinity Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 321 S Sharpe Ave, Cleveland, Mississippi |
| Authorized Official Name and Position | Annie Borders-blackwell (CEO/PHYSICIAN) |
| Authorized Official Contact | 6628438700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health Clinic 321 S Sharpe Ave Post Office Box 1998 Cleveland MS 38732 Ph: (662) 843-8700 | Trinity Health Clinic 321 S Sharpe Ave Post Office Box 1998 Cleveland MS 38732 Ph: (662) 843-8700 |
| NPI Number | 1023264934 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023264934 | NPI | - | NPPES |
| 07079055 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 20725 (Mississippi) | Primary |
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