SOUTHERN TRINITY HEALTH SERVICES – NPI #1568905560
Clinic/Center

SOUTHERN TRINITY HEALTH SERVICES is an AHC clinic located in SCOTIA, CA. NPPES has assigned the NPI number 1568905560 to SOUTHERN TRINITY HEALTH SERVICES on November 22, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Apr 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN TRINITY HEALTH SERVICES below.

NPI Profile for
SOUTHERN TRINITY HEALTH SERVICES

NPI Number
1568905560
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN TRINITY HEALTH SERVICES
Primary location
500 B STREET SUITE B
SCOTIA, CA 95565
Phone: (707) 574-6616 Fax:
Mailing address
PO BOX 7
SCOTIA, CA 95565-0007
Phone: (707) 764-5617 Fax: (707) 783-3511
Organization Subpart
No
Authorized Official
GRAYLAN LUPTON
CHIEF FINANCIAL OFFICER
Phone: (707) 764-5617
Updated
Certification Date
Apr 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.