TRENTON INDIAN SERVICE AREA; NPI #1912387630

Contact Information

TRENTON INDIAN SERVICE AREA

331 4TH AVE E
TRENTON, ND 58853-9998

Phone: 701-774-0461
Fax: 701-774-8003
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for TRENTON INDIAN SERVICE AREA

NPI Number 1912387630

LBN Legal business name TRENTON INDIAN SERVICE AREA

Authorized official MELISSA LEE - (BUSINESS OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/08/2015

Last updated 06/08/2015 - About 11 years ago

Identifiers

Medicaid

1312

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TRENTON INDIAN SERVICE AREA

Contact Information

Specialty

Rural Health

NPI Profile & details for TRENTON INDIAN SERVICE AREA

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