TRINITY MEDICAL CENTER
NPI 1033163829
Psychiatry & Neurology - Psychiatry in Rock Island, IL

NPI Status: Active since May 19, 2006

Contact Information

2701 17TH ST
ROCK ISLAND, IL
ZIP 61201
Phone: (309) 779-3000

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance
  • CLIA Number: 14D0720899
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 10-29-2026

About TRINITY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Trinity Medical Center, a provider established in Rock Island, Illinois operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1033163829 assigned on May 2006. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Trinity Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Joseph Provateare (Director Support Services)

NPI
1033163829
Provider Name
TRINITY MEDICAL CENTER
Entity Type
Organization
Location Address
2701 17TH ST ROCK ISLAND, IL 61201
Location Phone
(309) 779-3000
Mailing Address
4600 3RD ST MOLINE, IL 61265
Mailing Phone
(309) 779-2032
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2006
Last Update Date
04-11-2017
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A psychiatrist like Trinity Medical Center are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2103T00000XBehavioral Health & Social Service Providers

Psychologist

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
4106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
5273R00000XHospital Units

Psychiatric Unit

 
6363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • MyBlue Plus Bronze? 903 - POS
  • MyBlue Plus Bronze? 912 - POS
  • MyBlue Plus Bronze? Standard - Select Rx Copays - POS
  • MyBlue Plus Gold? 909 - POS
  • MyBlue Plus Gold? 910 - POS
  • MyBlue Plus Gold? Standard - Rx Copays - POS
  • MyBlue Plus Silver? 905 - POS
  • MyBlue Plus Silver? 906 - POS
  • MyBlue Plus Silver? Standard - Select Rx Copays - POS
  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOSEPH PROVATEARE

Authorized Official Title
DIRECTOR SUPPORT SERVICES
Authorized Official Phone
(309) 779-2022

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0276170MEDICAID (05)IA 
04049OTHER (01)BCWELLMARK ENRICH GR
8115303OTHER (01)BCILLINOIS RYC
813550MEDICARE ID-TYPE UNSPECIFIED (04)MEDICARE DOC GROUP
208833MEDICARE ID-TYPE UNSPECIFIED (04)MEDICARE LCSW GROUP
CB8166OTHER (01)ILRR MEDICARE
0219253MEDICAID (05)IA 
CK0834OTHER (01)ILRR MEDICARE
CB8516OTHER (01)ILRR MEDICARE
99817OTHER (01)BCWELLMARK GROUP
CB8530OTHER (01)ILRR MEDICARE
CB8524OTHER (01)ILRR MEDICARE
I17123MEDICARE ID-TYPE UNSPECIFIED (04)IA MEDICARE GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0720899
Facility Type
Mobile Laboratory
Certificate Effective Date
October 30, 2024
Certificate Expiration Date
October 29, 2026
Laboratory Director
MICHAEL BARR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Trinity Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TRINITY MEDICAL CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033163829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206326684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 6 + 6 + 8 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1033163829 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851391130 SAMMY MAROGIL M.D.
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1265432520 HARI BABU M.D.
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1730189994 IM SUK CHOI M.D.
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1750381935 JOHN C HENDRICKS M.D.
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1679552269 JOANNE A MICHAELSON MD
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1497734099JOANNE A MICHAELSON MD
Organization
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1578542239 VICTOR J BARNEY MD
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1831178573JEFFREY F FULLENKAMP DO LTD
Organization
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1093794752VICTOR J BARNEY MD PC
Organization
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1760461438 DONALD A NORMOYLE MD
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1568441160 NARAYANSWAMY V RAMA PRABHU MD
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1437138039FREED MEDICAL LIMITED
Organization
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1417936030 MARY FRANCIS M NUGUID MD
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1275512667 STEVEN M FREED MD
Individual
Anesthesiology2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1376516609DR. PAUL BOLGER
Individual
Emergency Medicine2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1235102567DR. KEVIN KURTH MD
Individual
Emergency Medicine2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1578536603DR. PATRCIK IRVING DO
Individual
Emergency Medicine2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1710950712DR. THOMAS RAMSTACK DO
Individual
Emergency Medicine2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1326012006DR. STEPHANIE BURROWS MD
Individual
Emergency Medicine2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000
1588639926DR. MICHAEL BARR MD
Individual
Emergency Medicine2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033163829, enumerated in the NPI registry as an "organization" on May 19, 2006

The provider is located at 2701 17th St Rock Island, Il 61201 and the phone number is (309) 779-3000

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D0720899 for a "mobile laboratory" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.