Organization
TRENTON INDIAN SERVICE AREA
Active
Other names
Trenton Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA R LEE (BUSINESS OFFICE MANAGER)
(701) 774-0461
Entity
Organization
Contact information
Practice address
331 4TH AVE E, TRENTON, ND 58853-0210
(701) 774-0461
(701) 774-8003
Mailing address
331 4TH AVE E, PO BOX 210, TRENTON, ND 58853-0210
(701) 774-0461
(701) 774-8003
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312
—
ND
Enumeration date
10/31/2014
Last updated
10/31/2014
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