TRINITY REGIONAL MEDICAL CENTER (NPI# 1306182647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306182647 |
| Entity Type | Organization |
| Organization Name | TRINITY REGIONAL MEDICAL CENTER |
| Practice Address |
802 Kenyon Rd Fort Dodge IA 50501-5740 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 5155733101 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | MICHAEL DEWERFF (CFO) |
| Authorized Official Telephone | 5155746603 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
| 1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
| 1275051914 | Trinity Regional Medical Center | Clinic/Center | 620 Northwestern Dr Ste 1, Storm Lake, IA 50588-2935 | 2017-09-01 |
| 1891898300 | Trinity Regional Medical Center | Clinic/Center | 821 S 25th St, Fort Dodge, IA 50501-5445 | 2006-09-07 |
| 1225546013 | Trinity Regional Medical Center | Nutritionist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-16 |
| 1407374143 | Trinity Regional Medical Center | Clinic/Center | 307 Highway 10, Laurens, IA 50554-1307 | 2017-09-01 |
| 1609394345 | Trinity Regional Medical Center | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2017-09-01 |
| 1053839795 | Trinity Regional Medical Center | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2017-09-01 |
| 1104344845 | Trinity Regional Medical Center | Clinic/Center | 101 N Main St, Fonda, IA 50540-7729 | 2017-09-01 |
| 1861910507 | Trinity Regional Medical Center | Clinic/Center | 301 Highland Ave, Sac City, IA 50583-2411 | 2017-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TRINITY REGIONAL MEDICAL CENTER | 802 Kenyon Road, Fort Dodge, IA 50501 |
| Street Address |
802 KENYON RD |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401786 | Tammy Jo Peyton | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-07-14 |
| 1467076612 | Adrianne K Peters | Pharmacist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2020-06-03 |
| 1881248490 | Andrew Doster | Nurse Anesthetist, Certified Registered | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-07-31 |
| 1417517178 | Jesseka Kaldenberg | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-06-15 |
| 1851852826 | Nicole Richelle Lee | Family Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-03-30 |
| 1073091161 | Connie Sue Fox | Registered Nurse | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-08-01 |
| 1376038067 | Allyson Croo | Nurse Practitioner | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-06-26 |
| 1124512744 | Philip Curtis Burton | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-06-18 |
| 1508374927 | Kari Lynn Tessum | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-19 |
| 1225546013 | Trinity Regional Medical Center | Nutritionist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002572 | Orange City Municipal Hospital | Non-Pharmacy Dispensing Site | 719 8th St Se, Orange City, IA 51041-7451 | 2020-01-20 |
| 1053586891 | Today's Modern Option | Non-Pharmacy Dispensing Site | 807 Jefferson St, Burlington, IA 52601-5433 | 2008-04-23 |
| 1093983397 | A Tech Inc | Non-Pharmacy Dispensing Site | 10409 Hickman Rd, Des Moines, IA 50322-3727 | 2008-02-20 |
| 1538213400 | Vista Vision & Contact Lens Center LLC | Non-Pharmacy Dispensing Site | 2801 Grand Ave Ste 73, Ames, IA 50010-4652 | 2007-01-22 |
| 1205847845 | Kristine M Staheli Jackson | Non-Pharmacy Dispensing Site | Hillcrest Family Services Clinic, 220 W 7th St, Dubuque, IA 52001 | 2006-08-10 |
| 1962970004 | Mcfarland Clinic, PC | Non-Pharmacy Dispensing Site | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-11-07 |
| 1285133173 | Hartmann Veterinary Services | Non-Pharmacy Dispensing Site | 2332 Cumberland Square Dr, Bettendorf, IA 52722-3219 | 2018-02-06 |
| 1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
| 1235596800 | Guttenberg Municipal Hospital | Non-Pharmacy Dispensing Site | 200 Main St, Guttenberg, IA 52052-9108 | 2016-01-27 |
| 1407142037 | Iowa City Ambulatory Surgical Center, LLC | Non-Pharmacy Dispensing Site | 2963 Northgate Dr, Iowa City, IA 52245-9571 | 2011-06-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.