Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Trinity Health Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1316121007

Southern Trinity Health Inc is a Federally Qualified Health Center (FQHC) in Mad River, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

153-A Van Duzen Rd
Mad River, CA 95552
Phone: (707) 574-6616
Fax: (707) 574-6523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1316121007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Graylan Lupton — Chief Executive Officer · (707) 574-6616
NPI enumeratedDecember 18, 2007
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing addressPo Box 7, Scotia, CA 95565-0007

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