Organization
TRINITY REGIONAL HEALTH SYSTEM
Active
Other names
Trinity Medical Center-Terrace Park
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEANN R KAI (CBO COMPLIANCE MANAGER)
(515) 362-5060
Entity
Organization
Contact information
Practice address
4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
(563) 742-5000
Mailing address
PO BOX 7265, DES MOINES, IA 50309-7265
(563) 742-5000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
820042H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66104
BLUE CROSS SNF SWB
IA
Enumeration date
09/29/2006
Last updated
08/22/2020
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