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TRINITY MEDICAL CENTER NPI 1033163829


NPI Information

NPI: 1033163829
Provider Name: TRINITY MEDICAL CENTER
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 14D0720899

Address:
2701 17TH ST
ROCK ISLAND, IL
ZIP 61201
Phone: (309) 779-3000
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TRINITY MEDICAL CENTER is a psychiatry psychiatry neurology in Rock Island, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. TRINITY MEDICAL CENTER NPI is 1033163829. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 17TH ST
ROCK ISLAND, IL
ZIP 61201-351
Phone: (309) 779-3000

The provider's authorized official is Joseph Provateare .
The authorized official title is Director Support Services and has the following contact phone number (309) 779-2022.

The CLIA number assigned to this NPI record is 14D0720899 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2103T00000XPsychologistNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5363L00000XNurse PractitionerNo
6273R00000XPsychiatric UnitNo
72084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10276170MEDICAIDIOWA
204049OTHERBCWELLMARK ENRICH GR
38115303OTHERBCILLINOIS RYC
4813550MEDICARE ID-TYPE UNSPECIFIEDMEDICARE DOC GROUP
5208833MEDICARE ID-TYPE UNSPECIFIEDMEDICARE LCSW GROUP
6CB8166OTHERILLINOISRR MEDICARE
70219253MEDICAIDIOWA
8CK0834OTHERILLINOISRR MEDICARE
9CB8516OTHERILLINOISRR MEDICARE
1099817OTHERBCWELLMARK GROUP
11CB8530OTHERILLINOISRR MEDICARE
12CB8524OTHERILLINOISRR MEDICARE
13I17123MEDICARE ID-TYPE UNSPECIFIEDIA MEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.