TRINITY MEDICAL CENTER (NPI# 1528225760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528225760 |
| Entity Type | Organization |
| Organization Name | TRINITY MEDICAL CENTER |
| Other Organization Name | ROBERT YOUNG CENTER |
| Practice Address |
4600 3rd St Moline IL 61265-6106 |
| Mailing Address |
2701 17th St Rock Island IL 61201-5351 |
| Practice Telephone | 3097792031 |
| Mailing Telephone | 3097795000 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | MS. FLORENCE L SPYROW (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 3097792219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | 1813322 | IL | Hospital Units |
| Y | 273R00000X | Psychiatric Unit | 1813322 | IL | Hospital Units |
| Other Name | Type Code |
|---|---|
| Robert Young Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285684423 | Trinity Medical Center | Ambulance | 4469 48th Avenue Ct, Rock Island, IL 61201-9213 | 2006-05-10 |
| 1912022302 | Trinity Medical Center | Ambulance | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 2007-03-21 |
| 1427173822 | Trinity Medical Center | Ambulance | 4469 48th Avenue Ct, Rock Island, IL 61201-9213 | 2007-03-21 |
| 1124110820 | Trinity Medical Center | General Acute Care Hospital | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 2006-09-29 |
| 1336231992 | Trinity Medical Center | Skilled Nursing Facility | 2701 17th St, Rock Island, IL 61201-5351 | 2006-09-29 |
| 1245322809 | Trinity Medical Center | Rehabilitation Unit | 2701 17th St, Rock Island, IL 61201-5351 | 2006-09-29 |
| 1316047632 | Trinity Medical Center | Psychiatry & Neurology | 2701 17th St, Rock Island, IL 61201-5351 | 2006-09-25 |
| 1770699902 | Trinity Medical Center | General Practice | 555 Valley View Dr, Moline, IL 61265-6138 | 2006-08-21 |
| 1184644783 | Trinity Medical Center | Physician Assistant | 2351 W Locust St, Davenport, IA 52804-3329 | 2006-07-20 |
| 1033163829 | Trinity Medical Center | Counselor | 2701 17th St, Rock Island, IL 61201-5351 | 2006-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRINITY MEDICAL CENTER | 2701 17th St, Rock Island, IL 61201-5351 |
| Iowa Business Entities | TRINITY MEDICAL CENTER | 270117th St, Rock Island, IL 61201 |
| System for Award Management (SAM) Entities | TRINITY MEDICAL CENTER EAST | 380 Summit Ave, Steubenville, OH 43952-2667 |
| Street Address |
4600 3RD ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870351 | Ernest Lee Galbreath | Psychiatry & Neurology | 4600 3rd St, Moline, IL 61265-6106 | 2005-06-10 |
| 1316545601 | Tamelia Abbasi | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-10-09 |
| 1346856556 | Alexa Stombaugh | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-22 |
| 1639785454 | Tracy Lynn Petersen | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-17 |
| 1609489806 | Parneet Sahota | Student in an Organized Health Care Education/Training Program | 4600 3rd St, Moline, IL 61265-6106 | 2020-08-26 |
| 1477162212 | Camille Katrina Butler | Technician | 4600 3rd St, Moline, IL 61265-6106 | 2020-07-28 |
| 1659901106 | Gloria Maria Guillen | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1699305136 | Kaila Jenaman | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1114567559 | Salena Hutchins | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-14 |
| 1619516218 | Jenifer Regennitter | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2019-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609166305 | Robert Young Center | Psychiatric Unit | 4601 53rd St, Moline, IL 61265-8115 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1740570316 | Robert Young Center | Psychiatric Unit | 4200 6th Ave, Rock Island, IL 61201-2109 | 2011-04-15 |
| 1669704326 | Isaac Ray Center At Cermak | Psychiatric Unit | 3159 N Seminary #301, Chicago, IL 60657 | 2010-02-05 |
| 1316115223 | 394567 D North | Psychiatric Unit | 4200 North Oak Park Ave, Chicago, IL 60634-1417 | 2008-02-13 |
| 1508034414 | 395061 Med Eval | Psychiatric Unit | 4200 North Oak Park Avenue, Chicago, IL 60634-1417 | 2008-02-13 |
| 1952425076 | Elgin Mental Health Center William White 4585 | Psychiatric Unit | 750 S. State St., Elgin, IL 60123-7692 | 2007-03-16 |
| 1932251766 | Families and Adolescents In Recovery, Inc. | Psychiatric Unit | 2010 E Algonquin Rd, Suite # 203-207, Schaumburg, IL 60173-4185 | 2007-01-18 |
| 1003976713 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-11 |
| 1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
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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.