Active NPI
Trinity Regional Health System
- Skilled Nursing Facility
- Bettendorf, IA
National Provider Identifier
1447342001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 820042H
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66104 | Other | IA | BLUE CROSS SNF SWB |
Other names 1
- Trinity Medical Center-Terrace Park
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
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.