| Organization Name: | TRINITY REGIONAL MEDICAL CENTER |
| NPI Number: | 1174754436 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J DEWERFF (CFO) |
| Mailing Address: | 802 Kenyon Rd Fort Dodge |
| State: | IA US |
| Postal Code: | 505015740 |
| Phone Number: | 5155733101 |
| Fax Number: | 5155738710 |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 03/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |