MEDICARE: TRINITY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
3	3245S0500X	Children's Substance Abuse Rehabilitation Facility
4	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1093690398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2701 17TH ST
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5351
Country	:	US
Telephone Number	:	309-779-2204
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 17TH ST
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5393
Country	:	US
Telephone Number	:	309-779-2204
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DAVID DELLITT
Credential	:
Telephone Number	:	309-779-2218

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/07/2025

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Directions to “TRINITY MEDICAL CENTER ” Practice Location

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