Organization
TRINITY VISITING NURSE AND HOMECARE ASSOCIATION
Active
Other names
Trinity Pathway Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD J RICHARD PT (EXECUTIVE DIRECTOR)
(309) 779-7242
Entity
Organization
Contact information
Practice address
106 19TH AVE, SUITE 101, MOLINE, IL 61265-3700
(309) 779-7600
(309) 779-7252
Mailing address
106 19 AVENUE, SUITE 101, MOLINE, IL 61265
(309) 779-7600
(309) 779-7252
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2001568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9550
BLUE CROSS BLUE SHIELD
—
01
—
96326
WELLMARK I V
—
01
—
96327
WELLMARK
—
Enumeration date
07/31/2006
Last updated
12/21/2010
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