Organization Active NPI

Trinity Regional Health System

  • Skilled Nursing Facility
  • Bettendorf, IA
National Provider Identifier
1447342001
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
820042H Issued in IA
Legal business name
TRINITY REGIONAL HEALTH SYSTEM
Practice address
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone
(563) 742-5000
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Leann R Kai
Title
Cbo Compliance Manager
Phone
(515) 362-5060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 820042H IA Primary

Addresses

Primary practice location

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626

Mailing address

PO Box 7265
Des Moines, IA 50309-7265
Phone (563) 742-5000

Other identifiers 1

IdentifierTypeStateIssuer
66104OtherIABLUE CROSS SNF SWB

Other names 1

  • Trinity Medical Center-Terrace Park Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1598054400000",
    "number": "1447342001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7265",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503097265",
            "telephone_number": "563-742-5000"
        },
        {
            "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": "563-742-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAI",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CBO COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "515-362-5060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "820042H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SNF SWB",
            "identifier": "66104",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical Center-Terrace Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.