SOUTHERN TRINITY HEALTH INC
NPI 1316121007
Clinic/Center - Federally Qualified Health Center (FQHC) in Mad River, CA

Q: What is Southern Trinity Health Inc's NPI number?

The NPI number for Southern Trinity Health Inc is 1316121007. It was assigned to this organization in the NPPES registry on December 18, 2007.

Q: What is Southern Trinity Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since December 18, 2007

153-A VAN DUZEN RD, MAD RIVER, CA 95552(707) 574-6616(707) 574-6523 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2022, Feb 28, 2019 (2 updates tracked since 2019).

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About Southern Trinity Health Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN TRINITY HEALTH INC (NPI 1316121007) is a healthcare organization registered as a federally qualified health center (fqhc) in Mad River, California and active in the NPI registry since December 2007. The organization lists Graylan Lupton, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1316121007

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN TRINITY HEALTH INC

Location Address153-A VAN DUZEN RDMad River, CA 95552

Mailing AddressPo Box 7Scotia, CA 95565-0007 · (707) 764-5617 · Fax (707) 783-5618

Phone(707) 574-6616

Fax(707) 574-6523

Organization SubpartNo

Authorized OfficialGraylan LuptonChief Executive Officer · (707) 574-6616

Enumeration DateDecember 18, 2007

Last NPPES UpdateApril 21, 20222 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1316121007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

153-A VAN DUZEN RD, Mad River, CA 95552

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Other Identifiers 1

MedicaidEAP70040FCA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN TRINITY HEALTH INC

Clinic/Center (Federally Qualified Health Center (FQHC))

153-A VAN DUZEN RD
MAD RIVER, CA 95552

Trinity County (707) 574-6616

THE WECARE GROUP, INC.

Ambulance

153-A VAN DUZEN RD
MAD RIVER, CA 95552

Trinity County (707) 574-6616

REENA ANAND DDS

Dentist (General Practice)

153-A VAN DUZEN RD
MAD RIVER, CA 95552

Trinity County (707) 574-6616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Trinity Health Inc's NPI number?

The NPI number for Southern Trinity Health Inc is 1316121007. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Southern Trinity Health Inc located?

Southern Trinity Health Inc is located at 153-A Van Duzen Rd, Mad River, CA 95552. The listed phone number is (707) 574-6616.

What is Southern Trinity Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Southern Trinity Health Inc was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.