| Organization Name: | TRINITY MEDICAL CENTER |
| NPI Number: | 1770699902 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER L EVERSON (BUSINESS OFFICE LEAD/COMPLIANCE COO) |
| Mailing Address: | 555 Valley View Dr Moline |
| State: | IL US |
| Postal Code: | 612656138 |
| Phone Number: | 3097649675 |
| Fax Number: | 3097643106 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |