Active NPI
Trinity Medical Center
- Skilled Nursing Facility
- Rock Island, IL
National Provider Identifier
1336231992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2087325
- Legal business name
- TRINITY MEDICAL CENTER
- Practice address
- 2701 17TH St
Rock Island, IL 61201-5351 - Phone
- (309) 779-5000
- NPI assigned
- Sep 29, 2006
- Organization subpart
- Yes
- Parent organization
- TRINITY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard A Seidler
- Title
- President/Ceo
- Phone
- (309) 779-5000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1745008 | IL | |
| Skilled Nursing Facility | 314000000X | 2087325 | IL | Primary |
Addresses
Primary practice location
2701 17TH St
Rock Island, IL 61201-5351
Mailing address
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0901363 | Medicaid | IA | |
| 45564 | Other | IL | BLUE CROSS |
Other names 1
- Trinity Transitional Care Unit
National Provider Directory
National Provider Directory- Part of
- Mental Health Trinity M
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": "1456876800000",
"number": "1336231992",
"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": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"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": "2016-03-02",
"status": "A",
"authorized_official_last_name": "SEIDLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "309-779-5000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "1745008",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "2087325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0901363",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "45564",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Transitional Care Unit",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.