TRINITY REGIONAL MEDICAL CENTER (NPI# 1700989225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700989225 |
| Entity Type | Organization |
| Organization Name | TRINITY REGIONAL MEDICAL CENTER |
| Other Organization Name | TRINITY REGIONAL MEDICAL CENTER HOSPICE |
| Practice Address |
802 Kenyon Rd Fort Dodge IA 50501-5740 |
| Mailing Address |
Po Box 7021 Des Moines IA 50309-7021 |
| Practice Telephone | 5155746420 |
| Practice Fax Number | 5155746985 |
| Mailing Telephone | 5153625060 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | MR. BRIAN M WEGENER (CFO) |
| Authorized Official Telephone | 5155746414 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0615492 | 05 |
| Other Name | Type Code |
|---|---|
| Trinity Regional Medical Center Hospice | Doing Business As Name - Organization |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699911859 | Unitypoint At Home | Hospice Care, Community Based | 214 S 25th St, Fort Dodge, IA 50501-4314 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665603 | Hillcrest Hospice LLC | Hospice Care, Community Based | 1702 W Broadway Ste 7, Council Bluffs, IA 51501-3867 | 2020-09-30 |
| 1144868928 | Physmed Iowa LLC | Hospice Care, Community Based | 1130 S Scott Blvd Ste 201, Iowa City, IA 52240-2908 | 2019-12-12 |
| 1750926481 | Moments Hospice of Des Moines LLC | Hospice Care, Community Based | 4150 Westown Pkwy Ste 106, West Des Moines, IA 50266-5901 | 2019-11-18 |
| 1285197160 | Visiting Nurse Services of Iowa | Hospice Care, Community Based | 118 N. Main Street, Mount Pleasant, IA 52641-2052 | 2019-04-09 |
| 1053877332 | Cedar Valley Hospice, LLC | Hospice Care, Community Based | 1850 Boyson Rd Ste A, Hiawatha, IA 52233-2316 | 2019-02-12 |
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1588191829 | Unitypoint At Home | Hospice Care, Community Based | 290 Blairs Ferry Rd Ne Ste 100, Cedar Rapids, IA 52402-1618 | 2017-05-17 |
| 1043757495 | Avalon Hospice Iowa, LLC | Hospice Care, Community Based | 4601 Westown Pkwy, Suite 105, West Des Moines, IA 50266-1081 | 2017-01-24 |
| 1023401254 | Hospice of The Midwest, LLC | Hospice Care, Community Based | 9203 Northpark Dr, Johnston, IA 50131-2933 | 2015-03-12 |
| 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.