NPIMap

Organization Active NPI

Trinity Medical Center

Doing business as Trinity Bettendorf

  • General Acute Care Hospital
  • Bettendorf, IA
National Provider Identifier
1124110820
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
820042H Issued in IA
Legal business name
TRINITY MEDICAL CENTER
Doing business as
Trinity Bettendorf
Practice address
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone
(309) 779-5000
NPI assigned
Sep 29, 2006
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Shawn Morrow
Title
President
Phone
(309) 779-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 820042H IA Primary

Addresses

Primary practice location

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626

Mailing address

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000

Other names 1

  • Trinity Bettendorf Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000623 IA Part A Provider - Hospital 2264337518 Practice locations: Bettendorf, IA; Davenport, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124110820. Details of each certification follow.

Hospital certification: CCN 160104

Legal name
TRINITY MEDICAL CENTER
Doing business as
TRINITY BETTENDORF
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 10, 2015
Beds
150
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2005 (6 total)
Organization structure
CorporationNon-profit
Enrollment address
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Trinity - BettendorfCCN 160104 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2112219Unitypoint Health Trinity Bettendorf4500 Utica Ridge Road, Bettendorf, IA 52722AccreditationJan 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Trinity Medical CNTR9 organizations share this tax ID, including this one
Part of
Trinity Medical CNTR

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Rouse Individual Corporate Director Jan 1, 2026
Dana Wilkinson Individual Corporate Officer Jan 1, 2026
Corporate Director Jul 1, 2023
Lisa McCraw Individual Corporate Director Jul 1, 2023
Steve J Arvanitis Individual Corporate Director Jun 10, 2025
Toyosi T Olutade Individual Corporate OfficerChief Medical Officer May 11, 2020
Scott Kizer Individual Operational/Managerial ControlChain Home Office President/Ceo Oct 9, 2023
Marie Ziegler Individual Corporate DirectorBoard Member Jan 1, 2024
Trinity Regional Health System Organization, Rock Island, IL Corporation, Non-profit Operational/Managerial Control Dec 21, 1984
Daniel P Stein Individual Corporate DirectorDirector Jul 23, 2019
Sharon K King Individual Contracted Managing EmployeeInterim President Jan 26, 2026
Corporate OfficerInterim President Jan 26, 2026
Corporate DirectorInterim President Jan 26, 2026
Operational/Managerial ControlInterim President Jan 26, 2026
Iowa Health System Organization, West Des Moines, IA Non-profit, Chain home office Operational/Managerial Control Sep 30, 1999
Gregorio Aguilar Individual Corporate Director Jan 1, 2018
Heidi Parkhurst Individual Corporate Officer Jan 1, 2026
Corporate DirectorDirector Jan 1, 2019
Deborah Freiburg Individual Corporate Director Dec 21, 2021
Nathan a Durick Individual Corporate Director Jan 1, 2021
David Dellitt Individual Contracted Managing EmployeeChief Financial Officer Feb 5, 2024
Corporate OfficerChief Financial Officer Feb 5, 2024
Operational/Managerial ControlChief Financial Officer Feb 5, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Quad Cities Rehabilitation InstituteMoline, IL, CCN 143032 Hospital 5% Or Greater Direct Ownership Interest (50%) Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 65

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 65

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

Affiliated clinicians 351

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 351

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1124110820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 17TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015351",
            "telephone_number": "309-779-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221626",
            "telephone_number": "309-779-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY MEDICAL CENTER",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-779-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "820042H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Bettendorf",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Bettendorf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.