| Trinity Community Clinic Western Dakota | |
|
1102 Main St Williston ND 58801-4233 | |
| (701) 572-7711 | |
| (701) 572-2283 |
| Full Name | Trinity Community Clinic Western Dakota |
|---|---|
| Speciality | Family Medicine |
| Location | 1102 Main St, Williston, North Dakota |
| Authorized Official Name and Position | Kevin E Seehafer (CFO) |
| Authorized Official Contact | 7015727711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Community Clinic Western Dakota 1102 Main St Williston ND 58801-4233 Ph: (701) 572-7711 | Trinity Community Clinic Western Dakota 1102 Main St Williston ND 58801-4233 Ph: (701) 572-7711 |
| NPI Number | 1396784146 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396784146 | NPI | - | NPPES |
| 18640 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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