Trinity Community Medical Clinic | |
8451 Highway 23 Ste 1 Belle Chasse LA 70037-2594 | |
(504) 417-3728 | |
Not Available |
Full Name | Trinity Community Medical Clinic |
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Speciality | Family Medicine |
Location | 8451 Highway 23 Ste 1, Belle Chasse, Louisiana |
Authorized Official Name and Position | Mary E Martinez (CONSULTANT) |
Authorized Official Contact | 5044173728 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trinity Community Medical Clinic 8451 Highway 23 Ste 1 Belle Chasse LA 70037-2594 Ph: (504) 417-3728 | Trinity Community Medical Clinic 8451 Highway 23 Ste 1 Belle Chasse LA 70037-2594 Ph: (504) 417-3728 |
NPI Number | 1720755895 |
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Provider Enumeration Date | 08/26/2021 |
Last Update Date | 01/11/2022 |
Certification Date | 01/10/2022 |
Medicare PECOS PAC ID | 6406243690 |
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Medicare Enrollment ID | O20220418000625 |
Identifier | Type | State | Issuer |
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1720755895 | NPI | - | NPPES |
01 | Other | LA | COMMERCIAL INSURANCE |
05 | Medicaid | LA |
Provider Name | Christine S Brennan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952304453 PECOS PAC ID: 9931388469 Enrollment ID: I20110128000873 |
Provider Name | Victoria Lewis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972898252 PECOS PAC ID: 5698078715 Enrollment ID: I20160125000822 |
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