TRENTON INDIAN SERVICE AREA (NPI# 1912387630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912387630 |
Entity Type | Organization |
Organization Name | TRENTON INDIAN SERVICE AREA |
Other Organization Name | TRENTON COMMUNITY CLINIC |
Practice Address |
331 4th Ave E Trenton ND 58853-9998 |
Practice Telephone | 7017740461 |
Practice Fax Number | 7017748003 |
Mailing Telephone | 7017740461 |
Mailing Fax Number | 7017748003 |
Enumeration Date | 2015-06-08 |
Last Update Date | 2015-06-08 |
Authorized Official Name | MELISSA R LEE (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 7017740461 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 1312 | 05 |
Other Name | Type Code |
---|---|
Trenton Community Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609271725 | Trenton Indian Service Area | Clinic/Center | 331 4th Ave E, Trenton, ND 58853-0210 | 2014-10-31 |
1730307125 | Trenton Indian Service Area | Pharmacy | 331 4th Ave E, Trenton, ND 58853-9998 | 2007-04-23 |
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 |
Street Address |
331 4TH AVE E |
City | TRENTON |
State | ND |
Zip Code | 58853-9998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881626422 | Patricia Ann Blomquist | Physician Assistant | 331 4th Ave E, Trenton, ND 58853-9998 | 2006-07-06 |
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 |
1689895427 | Trenton Community Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 331 4th Ave E, Hwy 1804, Trenton, ND 58853-9998 | 2007-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558400598 | Dorothy Kay Collette-gjorven | Pharmacist | Main St, Trenton, ND 58853 | 2007-02-06 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356378459 | Community Hospital Association | Clinic/Center | 406 E 1st St, Trenton, NE 69044-1715 | 2006-06-26 |
1437602745 | Fairview Physicians Network, LLC | Clinic/Center | 120 N Main St, Trenton, KY 42286-9734 | 2016-08-03 |
1609271725 | Trenton Indian Service Area | Clinic/Center | 331 4th Ave E, Trenton, ND 58853-0210 | 2014-10-31 |
1700895711 | Saint Lukes Hospital of Trenton | Clinic/Center | 189 Iowa Blvd, Trenton, MO 64683-8343 | 2006-08-07 |
1083650402 | J.a. Bowe, M.d., P.C. | Clinic/Center | 3300 E 10th St, Trenton, MO 64683-9579 | 2006-06-22 |
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1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
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1700064599 | Rolla Eye Clinic | Clinic/Center | 118 3rd St. Ne, Rolla, ND 58367-1170 | 2008-02-05 |
1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
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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.