Healthcare Provider Details

I. General information

NPI: 1245285816
Provider Name (Legal Business Name): TRINITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 W DAKOTA PKWY
WILLISTON ND
58801-3807
US

IV. Provider business mailing address

PO BOX 5020
MINOT ND
58702-5020
US

V. Phone/Fax

Practice location:
  • Phone: 800-735-4926
  • Fax: 701-774-0825
Mailing address:
  • Phone: 701-857-5118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

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