Organization
TRINITY MEDICAL CENTER
Active
Organization
TRINITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FLORENCE L SPYROW (LEGAL COUNSEL)
(309) 779-2219
Entity
Organization
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219253
—
IA
01
—
8115303
BCILLINOIS GROUP
—
01
—
91433
BCWELLMARK E MOLINE
—
01
—
91471
BCWELLMARK 7TH STREET
—
01
—
92323
BCWELLMARK WEST
—
01
—
95149
BCWELLMARK EKG GROUP
—
01
—
97622
BCWELLMARK MOLINE
—
01
—
CH3653
RR MEDICARE GROUP
IL
01
—
CK7064
RR MEDICARE GROUP
IA
Enumeration date
05/16/2006
Last updated
04/14/2008
Update your record
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