Healthcare Provider Details

I. General information

NPI: 1679619548
Provider Name (Legal Business Name): TRINITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
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: 701-572-7641
  • Fax: 701-572-7710
Mailing address:
  • Phone:
  • 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: JOHN M KUTCH
Title or Position: CEO
Credential:
Phone: 701-418-8000