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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
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