Provider Demographics
NPI:1578009023
Name:TRINITY MEMORIAL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:TRINITY MEMORIAL HOSPITAL DISTRICT
Other - Org Name:TRINITY MEMORIAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-358-7004
Mailing Address - Street 1:317 PROSPECT DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:TX
Mailing Address - Zip Code:75862-6202
Mailing Address - Country:US
Mailing Address - Phone:936-594-3541
Mailing Address - Fax:936-744-1185
Practice Address - Street 1:317 PROSPECT DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:TX
Practice Address - Zip Code:75862-6202
Practice Address - Country:US
Practice Address - Phone:936-594-3541
Practice Address - Fax:936-744-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458782Medicare PIN