# TRINITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Community Clinic Western Dakota
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396784146
- **Authorized official:** MR. JOHN M KUTCH (PRESIDENT & CEO)
- **Authorized official phone:** (701) 418-8000

## Contact information

- **Practice address:** 1102 MAIN ST, WILLISTON, ND 58801-4233
- **Practice address phone:** (701) 572-7711
- **Practice address fax:** (701) 572-2283
- **Mailing address:** PO BOX 5020, MINOT, ND 58702-5020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 05/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 18640 | — | ND |