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NPI Code Detail

MEDICARE: TRINITY REGIONAL MEDICAL CENTER

MEDICARE: TRINITY REGIONAL MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1710405444
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 802 KENYON RD
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-5740
Country : US
Telephone Number : 515-574-6565
Fax Number : 515-574-6504
Provider Business Practice Location Address
First Line : 800 KENYON RD
Second Line : STES O, S, T, U, X & Y
City : FORT DODGE
State : IA
Zip : 50501-5776
Country : US
Telephone Number : 515-471-6800
Fax Number : 515-573-7234
Authorized Official
Title or Position : MARKET PRESIDENT
Name : MS. LEAH M GLASGO
Credential :
Telephone Number : 515-573-3101
Provider Enumeration Date : 09/01/2017
Last Update Date : 11/19/2024

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Directions to “TRINITY REGIONAL MEDICAL CENTER ” Practice Location

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