Healthcare Provider Details

I. General information

NPI: 1538214689
Provider Name (Legal Business Name): TRINITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 MAIN ST
WILLISTON ND
58801-4233
US

IV. Provider business mailing address

PO BOX 5020
MINOT ND
58702-5020
US

V. Phone/Fax

Practice location:
  • Phone: 701-572-7711
  • Fax: 701-572-2283
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN M KUTCH
Title or Position: PRESIDENT & CEO
Credential:
Phone: 701-418-8000