TRINITY MEDICAL VIDALIA CLINIC
NPI 1780190322
Clinic/Center - Rural Health in Vidalia, LA

Active since December 19, 2017CLIA 19D2080217 · Waiver
1643 CARTER ST, VIDALIA, LA 71373(318) 336-8707 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Trinity Medical Vidalia Clinic NPPES

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

TRINITY MEDICAL VIDALIA CLINIC (NPI 1780190322) is a healthcare organization registered as a rural health in Vidalia, Louisiana and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Nekeisha Lashay Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780190322
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Location Address1643 CARTER STVidalia, LA 71373-3156
Mailing AddressPo Box 111Ferriday, LA 71334-0111
Organization SubpartNo
Authorized OfficialNekeisha Lashay SmithAdministrator · (318) 719-3636
Enumeration DateDecember 19, 2017
Last NPPES UpdateOctober 5, 20225 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
NPI 1780190322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1643 CARTER ST, Vidalia, LA 71373

Other Names 1

Doing Business AsTrinity Medical Vidalia Clinic

Other Identifiers 1

Medicaid2481011LA

Accepted 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 19D2080217

Trinity Medical Vidalia Clinic · Vidalia, LA
Active · expires Jul 1, 2028
CLIA Number19D2080217
Laboratory TypePractitioner Other
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorLacey D. Keeth
Laboratory Phone(318) 336-8707
Laboratory LocationTrinity Medical Vidalia Clinic1643 Carter Street, Suite 1, Vidalia, LA 71373
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

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

Nurse Practitioner (Family)
1643 CARTER ST
VIDALIA, LA 71373

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 Concordia Parish Hospital Service District Number One's NPI number?

The NPI number for Concordia Parish Hospital Service District Number One is 1780190322. It was assigned to this organization in the NPPES registry on December 19, 2017. The provider is doing business as Trinity Medical Vidalia Clinic.

Where is Concordia Parish Hospital Service District Number One located?

Concordia Parish Hospital Service District Number One is located at 1643 Carter St, Vidalia, LA 71373. The listed phone number is (318) 336-8707.

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.

Does Concordia Parish Hospital Service District Number One hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2080217) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Concordia Parish Hospital Service District Number One accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Concordia Parish Hospital Service District Number One as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Concordia Parish Hospital Service District Number One was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.