National Provider Identifier Database

TRENTON INDIAN SERVICE AREA
Rural Health


Contact Information

TRENTON INDIAN SERVICE AREA
331 4TH AVE E
TRENTON, ND58853-0210
Phone: 701-774-0461
Fax: 701-774-8003
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for TRENTON INDIAN SERVICE AREA

NPI Number 1609271725
Legal business name
LBN
TRENTON INDIAN SERVICE AREA
Authorized official MELISSA LEE - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/31/2014
Last updated 10/31/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • ND Medicaid: 1312

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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