TRINITY MEDICAL FERRIDAY CLINIC
NPI 1679513600
Clinic/Center - Rural Health in Ferriday, LA

Q: What is Concordia Parish Hospital Service District Number One's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since June 07, 2006CLIA 19D1004138 · Waiver

204 SERIO BLVD, FERRIDAY, LA 71334(318) 757-8010(318) 757-9501 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2022, Mar 4, 2021, Sep 10, 2020 and 2 more (5 updates tracked since 2017).

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About Trinity Medical Ferriday Clinic NPPES

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

TRINITY MEDICAL FERRIDAY CLINIC (NPI 1679513600) is a healthcare organization registered as a rural health in Ferriday, Louisiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Nekeisha Lashay Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1679513600

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE

Location Address204 SERIO BLVDFerriday, LA 71334-2015

Mailing Address204 Serio BlvdFerriday, LA 71334 · (318) 757-0210 · Fax (318) 757-9916

Phone(318) 757-8010

Fax(318) 757-9501

Organization SubpartNo

Authorized OfficialNekeisha Lashay SmithAdministrator · (318) 719-3636

Enumeration DateJune 7, 2006

Last NPPES UpdateOctober 5, 20225 updates tracked since enumeration

NPPES CertifiedOctober 5, 2022

✔ NPI 1679513600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X · License 247A (LA)

204 SERIO BLVD, Ferriday, LA 71334

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Other Names 1

Doing Business AsTrinity Medical Ferriday Clinic

Other Identifiers 1

Medicaid2518771LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1004138

Trinity Medical Ferriday Clinic · Ferriday, LA

Active · expires Sep 18, 2026

CLIA Number19D1004138

Laboratory TypePhysician Office

Certificate Effective DateSeptember 19, 2024

Certificate Expiration DateSeptember 18, 2026

Laboratory DirectorCarrie A. Bonomo

Laboratory Phone(318) 757-0210

Laboratory LocationTrinity Medical Ferriday Clinic204 Serio Boulevard, Ferriday, LA 71334

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. PHILLIP PARKER CRACE MD FACS

Surgery