TRINITY HEALTH (NPI# 1629636204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629636204 |
| Entity Type | Organization |
| Organization Name | TRINITY HEALTH |
| Practice Address |
1 Burdick Expy W Minot ND 58701-4406 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7018575000 |
| Mailing Telephone | 7018575118 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | BRUCE ALAN METTIN (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7018575207 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Trinity Portable X-Ray | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982770996 | Trinity Health | Eyewear Supplier (Equipment, not the service) | 2815 16th St Sw Ste 101, Minot, ND 58701-6914 | 2006-11-28 |
| 1245272277 | Trinity Health | Dentist | 2815 16th St Sw Ste 100, Minot, ND 58701-6916 | 2006-06-12 |
| 1871532598 | Trinity Health | Psychiatry & Neurology | 1900 8th Ave Se, Minot, ND 58701-4935 | 2006-06-06 |
| 1255386223 | Trinity Health | Ophthalmology | 120 Burdick Expy E, Minot, ND 58701-4434 | 2006-05-24 |
| 1962738542 | Trinity Health | Clinic/Center | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-11-02 |
| 1316273998 | Trinity Health | Clinical Medical Laboratory | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-11-02 |
| 1841526332 | Trinity Health | Clinic/Center | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-10-19 |
| 1013180405 | Trinity Health | Durable Medical Equipment & Medical Supplies | 1500 24th Ave Sw, Minot, ND 58701-6905 | 2008-04-08 |
| 1902949845 | Trinity Health | Clinical Medical Laboratory | 1102 Main St, Williston, ND 58801-4233 | 2007-02-14 |
| 1811030752 | Trinity Health | Clinic/Center | 1321 W Dakota Pkwy, Williston, ND 58801 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRINITY HEALTH | 33920 Us Highway 19 N Ste 269, Palm Harbor, FL 34684-2673 |
| Colorado Business Entities | Trinity Health | 50 East Court, Siute 8, Mandeville, LA 70471 |
| Oregon Corporations, Companies and Business Names | TRINITY HEALTH & BEAUTY SUPPLY | 18475 Sw Oakville Ct, Beaverton, OR 97078 |
| System for Award Management (SAM) Entities | TRINITY HEALTH AND HOME CARE SERVICES | 2720 Stain Glass Ct, Carrollton, TX 75007-5052 |
| Colorado Business Entities | Trinity Health and Nutrition Concepts LLC | 5367 S Rome Cir, Aurora, CO 80015 |
| System for Award Management (SAM) Entities | TRINITY HEALTH AND REHABILITATION CENTER | 4 Saint Joseph St, Woonsocket, RI 02895-5416 |
| Colorado Business Entities | Trinity Health and Wellness Vinnola | 1823 Anvil View Ave, Rifle, CO 81650 |
| Colorado Business Entities | Trinity Health Care | 1281 E Magnolia Street, D-124, Fort Collins, CO 80524 |
| System for Award Management (SAM) Entities | TRINITY HEALTH CARE SERVICES LLC | 909 E Renton St, Carson, CA 90745-3421 |
| Colorado Business Entities | TRINITY HEALTH CENTER, LLC | Po Box 3705, Durango, CO 81302 |
| Street Address |
1 BURDICK EXPY W |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346882 | Brian Tin-maung | Anesthesiology | 1 Burdick Expy W, Minot, ND 58701-4406 | 2005-12-09 |
| 1972117927 | Rachel Schaan | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-09-06 |
| 1184237471 | Michael Donald Peterson | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-08-26 |
| 1760005391 | Kennedi Marie Kautzman | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-05-18 |
| 1417593781 | Alicia Brianne Paulson | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-11-21 |
| 1558914267 | Keeley Walker | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-07-22 |
| 1073171864 | Alicia Flesner | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-06-05 |
| 1649764770 | Dwight Remington | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-06-21 |
| 1104334564 | Tessa M Hartmann | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-01-18 |
| 1356858963 | Olga I O'brien | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104481779 | Trinity Hospitals | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 305 8th Ave Ne, Minot, ND 58703-2624 | 2019-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598056384 | Professional Portable Radiologic Services Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2111 Main Ave E, Unit A15, West Fargo, ND 58078-2216 | 2011-04-27 |
| 1932158524 | Dms Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2101 University Dr N, Fargo, ND 58102-1816 | 2006-05-09 |
| 1881899649 | Dms Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2101 University Dr N, Fargo, ND 58102-1816 | 2007-06-20 |
| 1538372206 | Dms Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2101 University Dr N, Fargo, ND 58102-1816 | 2007-05-08 |
| 1619922390 | Dms Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2101 University Dr N, Fargo, ND 58102-1816 | 2006-05-23 |
| 1184674913 | Dms Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2101 University Dr N, Fargo, ND 58102-1816 | 2006-05-11 |
| 1265482004 | Dms Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2101 University Dr N, Fargo, ND 58102-1816 | 2006-05-11 |
| 1174573919 | Dms Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2101 University Dr N, Fargo, ND 58102-1816 | 2006-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.