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

Active since May 19, 2006CLIA 14D2250457 · Waiver
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-3000 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trinity Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY MEDICAL CENTER (NPI 1033163829) is a healthcare organization registered as a psychiatry in Rock Island, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Joseph Provateare, Director Support Services, as its authorized official.

NPPES Registry Identity

NPI1033163829
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTRINITY MEDICAL CENTER
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address4600 3rd StMoline, IL 61265-6106 · (309) 779-2032
Organization SubpartNo
Authorized OfficialJoseph ProvateareDirector Support Services · (309) 779-2022
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 11, 2017
NPI 1033163829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition

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.

Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatric UnitTaxonomy 273R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2701 17TH ST, Rock Island, IL 61201

Other Identifiers 13

Medicaid0276170IA
Other04049Bcwellmark Enrich Gr
Other8115303Bcillinois Ryc
Medicare ID-Type Unspecified813550Medicare Doc Group
Medicare ID-Type Unspecified208833Medicare Lcsw Group
OtherCB8166IL · Rr Medicare
Medicaid0219253IA
OtherCK0834IL · Rr Medicare
OtherCB8516IL · Rr Medicare
Other99817Bcwellmark Group
OtherCB8530IL · Rr Medicare
OtherCB8524IL · Rr Medicare
Medicare ID-Type UnspecifiedI17123Ia Medicare Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2250457

Trinity Medical Center - Cardiac Rehab Dept · Rock Island, IL
Active · expires Jan 26, 2028
CLIA Number14D2250457
Laboratory TypeHospital
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorFaraz Manazir
Laboratory Phone(309) 779-2880
Laboratory LocationTrinity Medical Center - Cardiac Rehab Dept2701 17th St, Rock Island, IL 61201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201
Emergency Medicine
2701 17TH ST
ROCK ISLAND, IL 61201
Social Worker
2701 17TH ST
ROCK ISLAND, IL 61201
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Hospitalist
2701 17TH ST
ROCK ISLAND, IL 61201
Counselor (Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Medical Center's NPI number?

The NPI number for Trinity Medical Center is 1033163829. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Trinity Medical Center located?

Trinity Medical Center is located at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-3000.

What is Trinity Medical Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Trinity Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2250457) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trinity Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Medica list Trinity Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trinity Medical Center was last updated on April 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.