| Trinity Hospitals Psych | |
|
407 3rd St Se Minot ND 58701 | |
| (701) 857-5178 | |
| (701) 857-5117 |
| Full Name | Trinity Hospitals Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 407 3rd St Se, Minot, North Dakota |
| Authorized Official Name and Position | John M Kutch (PRESIDENT & CEO) |
| Authorized Official Contact | 7014188000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Hospitals Psych Po Box 5020 Minot ND 58702-5020 Ph: (701) 857-5118 | Trinity Hospitals Psych 407 3rd St Se Minot ND 58701 Ph: (701) 857-5178 |
| NPI Number | 1417079211 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 6608785837 |
|---|---|
| Medicare Enrollment ID | O20091029000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417079211 | NPI | - | NPPES |
| 1460630 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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