Trenton Indian Service Area

LBN: Trenton Indian Service Area
Trenton Indian Service Area is an health care organization with primary practice located at 331 4Th Ave E , Trenton ND 58853-9998. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Trenton Indian Service Area can be contacted via phone (701) 774-0461, or through Ladue, Eugene H via phone (701) 774-8316.

Contact Information

Primary practice address
331 4Th Ave E Trenton ND 58853-9998
Phone: (701) 774-0461
Fax: (701) 774-8003
Website:
Map and Directions
Authorized official contact:
Name: Ladue, Eugene H
Phone: (701) 774-8316

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1730307125
LBN Legal business name Trenton Indian Service Area
DBA Doing business as
Authorized official Ladue, Eugene H
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Oct 29th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730307125 NPPES
North Dakota Other 35D0409330 CLIA NO
North Dakota Other 287001 CLIA NO
North Dakota MEDICAID 1312 CLIA NO

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