1215001995 NPI number — TRINITY CENTER AT LUTHER PARK

Table of content: (NPI 1215001995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215001995 NPI number — TRINITY CENTER AT LUTHER PARK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRINITY CENTER AT LUTHER PARK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215001995
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1555 HULL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50316-1341
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-262-5639
Provider Business Mailing Address Fax Number:
515-266-8302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1555 HULL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50316-1341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-262-5639
Provider Business Practice Location Address Fax Number:
515-266-8302
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LITTLE
Authorized Official First Name:
LORRIE
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING OFFICE MANAGER
Authorized Official Telephone Number:
515-262-5639

Provider Taxonomy Codes

  • Taxonomy code: 311500000X , with the licence number:  770825 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0802306 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com