Provider Demographics
NPI:1699373118
Name:TRIUMPH, INC.
Entity Type:Organization
Organization Name:TRIUMPH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-952-0429
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58402-0429
Mailing Address - Country:US
Mailing Address - Phone:701-952-0429
Mailing Address - Fax:
Practice Address - Street 1:1805 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-6308
Practice Address - Country:US
Practice Address - Phone:701-952-0429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health