TRINITY REGIONAL MEDICAL CENTER NPI 1104344845

NPI Information

NPI: 1104344845
Provider Name: TRINITY REGIONAL MEDICAL CENTER

Doing Business As: UNITYPOINT CLINIC FAMILY MEDICINE FONDA

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
101 N MAIN ST
FONDA, IA
ZIP 50540
Phone: (712) 228-4426
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TRINITY REGIONAL MEDICAL CENTER is a rural health clinic center in Fonda, IA. TRINITY REGIONAL MEDICAL CENTER NPI is 1104344845. The provider is registered as an organization entity type.
The provider Is Doing Business As Unitypoint Clinic Family Medicine Fonda.

The provider's business location address is:

101 N MAIN ST
FONDA, IA
ZIP 50540-729
Phone: (712) 228-4426
Fax: (712) 228-4425

The provider's authorized official is Michael J Dewerff .
The authorized official title is Ceo and has the following contact phone number (515) 573-3101.

The CLIA number assigned to this NPI record is 16D0647959 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/1/2017 and was last updated on 10/25/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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: 5/5/2024

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