SOUTHERN TRINITY HEALTH SERVICES
NPI 1568905560
Clinic/Center - Federally Qualified Health Center (FQHC) in Scotia, CA
About Southern Trinity Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN TRINITY HEALTH SERVICES (NPI 1568905560) is a healthcare organization registered as a federally qualified health center (fqhc) in Scotia, California and active in the NPI registry since November 2016. The organization lists Graylan Lupton, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Trinity Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Trinity Health Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Services's NPI number?
The NPI number for Southern Trinity Health Services is 1568905560. It was assigned to this organization in the NPPES registry on November 22, 2016.
Where is Southern Trinity Health Services located?
Southern Trinity Health Services is located at 500 B Street Suite B, Scotia, CA 95565. The listed phone number is (707) 574-6616.
What is Southern Trinity Health Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Southern Trinity Health Services enrolled in Medicare?
Yes. Southern Trinity Health Services is registered in the Medicare PECOS enrollment system.
When is Southern Trinity Health Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Trinity Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Trinity Health Services, in Clinical Social Worker, Emergency Medicine and General Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Trinity Health Services 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.
# Southern Trinity Health Services · NPI 1568905560
Federally Qualified Health Center (FQHC) organization in Scotia, California. Organization record, active in the CMS NPPES registry since November 22, 2016.
## Identity
- **NPI:** 1568905560 (Entity type: Organization)
- **Enumerated:** November 22, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Graylan Lupton, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 500 B STREET SUITE B, Scotia, CA 95565
- **Phone:** (707) 574-6616
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Emergency Medicine (1), General Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568905560) · Data from the CMS NPPES public registry.