Provider Demographics
NPI:1942355300
Name:TRINITY HEALTH
Entity Type:Organization
Organization Name:TRINITY HEALTH
Other - Org Name:TCC - WESTERN DAKOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:EMPEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-857-5160
Mailing Address - Street 1:1321 W DAKOTA PKWY
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-3807
Mailing Address - Country:US
Mailing Address - Phone:701-857-5207
Mailing Address - Fax:701-857-2472
Practice Address - Street 1:1321 W DAKOTA PKWY
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-3807
Practice Address - Country:US
Practice Address - Phone:701-572-7711
Practice Address - Fax:701-572-2283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0954580005Medicare NSC