Healthcare Provider Details

I. General information

NPI: 1992750459
Provider Name (Legal Business Name): QUINT CITIES RADIATION ONCOLOGY, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRINITY MEDICAL CENTER 500 JOHN DEERE RD
MOLINE IL
61265
US

IV. Provider business mailing address

PO BOX 115
HIAWATHA IA
52233-0115
US

V. Phone/Fax

Practice location:
  • Phone: 309-779-5090
  • Fax: 309-779-5072
Mailing address:
  • Phone: 319-826-3763
  • Fax: 888-609-6019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: LORI L STUART
Title or Position: BILLING MANAGER
Credential:
Phone: 319-826-3763