TRENTON INDIAN SERVICE AREA


Address: 331 4th Ave E, Trenton, ND 58853-9998
Phone: 7017740461

TRENTON INDIAN SERVICE AREA (NPI# 1730307125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730307125
Entity Type Organization
Organization Name TRENTON INDIAN SERVICE AREA
Practice Address 331 4th Ave E
Trenton
ND 58853-9998
Mailing Address 331 4th Ave E
Po Box 210
Trenton
ND 58853-9998
Practice Telephone 7017740461
Practice Fax Number 7017748003
Mailing Telephone 7017740461
Mailing Fax Number 7017748003
Enumeration Date 2007-04-23
Last Update Date 2015-10-29
Authorized Official Name MR. EUGENE H LADUE (CHAIRPERSON)
Authorized Official Telephone 7017748316
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
ND CLIA NO 35D0409330 01
ND 1312 05
ND BCBS 287001 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912387630 Trenton Indian Service Area Clinic/Center 331 4th Ave E, Trenton, ND 58853-9998 2015-06-08
1609271725 Trenton Indian Service Area Clinic/Center 331 4th Ave E, Trenton, ND 58853-0210 2014-10-31
1780788380 Trenton Indian Service Area Clinical Medical Laboratory 331 4th Ave E, Trenton, ND 58853-9998 2006-09-12
1124122692 Trenton Indian Service Area Dentist 331 4th Ave E, Trenton, ND 58853-9998 2006-09-12
1568574036 Trenton Indian Service Area Clinic/Center 331 4th Ave E, Trenton, ND 58853-9998 2006-08-31

Office Location

Street Address 331 4TH AVE E
City TRENTON
State ND
Zip Code 58853-9998

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881626422 Patricia Ann Blomquist Physician Assistant 331 4th Ave E, Trenton, ND 58853-9998 2006-07-06
1912387630 Trenton Indian Service Area Clinic/Center 331 4th Ave E, Trenton, ND 58853-9998 2015-06-08
1609271725 Trenton Indian Service Area Clinic/Center 331 4th Ave E, Trenton, ND 58853-0210 2014-10-31
1306286448 Brandy Anne Shahin Nurse Practitioner 331 4th Ave E, Trenton, ND 58853-9998 2013-07-03
1053644492 Lisa M Cohoe Dentist 331 4th Ave E, Trenton, ND 58853-9998 2009-09-17
1760653208 Tina Rabenberg Falcon Licensed Practical Nurse 331 4th Ave E, Trenton, ND 58853-9998 2008-03-12
1952572406 Cynthia V Gardner Licensed Practical Nurse 331 4th Ave E, Trenton, ND 58853-9998 2008-03-12
1396916847 Gregory Allen Bender Registered Nurse 331 4th Ave E, Trenton, ND 58853-9998 2008-03-12
1720259260 Jennifer Lea Schroeder Registered Nurse 331 4th Ave E, Trenton, ND 58853-9998 2008-03-12
1669684825 Abredeen Area Tribal Chairmans Health Board Private Vehicle 331 4th Ave E, Building 3, Trenton, ND 58853-9998 2007-05-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558400598 Dorothy Kay Collette-gjorven Pharmacist Main St, Trenton, ND 58853 2007-02-06

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639363591 Trenton Medical Center, Inc Pharmacy 911 S Main St, Trenton, FL 32693-3239 2007-09-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194805796 North Dakota State University Pharmacy 301 Np Avenue, Fargo, ND 58102 2006-10-17
1811939416 North Dakota State University Pharmacy 1707 Centennial Blvd, Fargo, ND 58102 2006-06-11
1972000768 North Dakota State University Pharmacy 4025 9th Ave S, Fargo, ND 58103-2101 2018-04-09
1265884308 Spirit Lake Tribe Pharmacy 3883 74th Ave Ne, Fort Totten, ND 58335 2016-07-12
1639254113 Prescription Center Pharmacy Inc. Pharmacy 2701 13th Ave S, Fargo, ND 58103-3602 2006-10-25

Competitor

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City TRENTON
Zip Code 58853

Improve Information

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Dataset Information

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.

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