| Organization Name: | TRINITY URGENT CARE & FAMILY PRACTICE, PLLC |
| NPI Number: | 1003082769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENENE P. SMITH (RN/MSN) |
| Mailing Address: | 923 W 3rd St Suite A Pembroke |
| State: | NC US |
| Postal Code: | 283729684 |
| Phone Number: | 9107759027 |
| Fax Number: | 9107759131 |
| NPI Enumeration Date: | 05/02/2008 |
| NPI Last Update Date: | 07/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 201409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |