Organization Active NPI

Trinity Hospitals

Doing business as Trinity Hospitals Psych

  • Psychiatric Hospital Unit
  • Minot, ND
National Provider Identifier
1417079211
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
TRINITY HOSPITALS
Doing business as
Trinity Hospitals Psych
Practice address
407 3Rd St SE
Minot, ND 58701
Phone
(701) 857-5178
Fax
(701) 857-5117
NPI assigned
Apr 4, 2007
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John M Kutch
Title
President & Ceo
Phone
(701) 418-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

407 3Rd St SE
Minot, ND 58701

Mailing address

PO Box 5020
Minot, ND 58702-5020
Phone (701) 418-8000

Other identifiers 1

IdentifierTypeStateIssuer
1460630MedicaidND

Other names 2

  • Trinity Hospitals Psych Doing business as
  • Trinity Hospitals St Joseph's Psych Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091029000519 ND Part A Provider - Hospital 6608785837 Practice locations: Minot, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417079211. Details of each certification follow.

Hospital certification: CCN 35S006

Legal name
TRINITY HOSPITALS
Organization structure
CorporationNon-profit
Incorporated
Mar 8, 2001 in ND
Enrollment address
407 3Rd St SE
Minot, ND 58701-4470
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Trinity Kenmare Hospital14 organizations share this tax ID, including this one
Part of
Western Dakota Medical

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Zimmerman Individual W-2 Managing Employee Jun 6, 2021
Jeffrey a Sather Individual Corporate Director Dec 17, 2018
Rhonda Walter Individual W-2 Managing Employee Jan 28, 2011
Glen Taylor Wilson Individual Corporate Officer Feb 29, 2016
Patrick S Holien Individual Corporate Director Oct 20, 2009
John M Kutch Individual Corporate OfficerCeo Jun 1, 2009
Corporate DirectorCeo Jun 1, 2009
Clara Sue Price Individual Corporate Director Oct 20, 2009
Karen K Krebsbach Individual Corporate Director Oct 20, 2009
Brent Mattson Individual Corporate Director Jan 1, 2015
David D Kohlman Individual W-2 Managing Employee Sep 1, 2011
Borgi Beeler Individual Corporate Director Oct 15, 2008
Trinity Hospitals Organization, Minot, ND Medical staffing company Operational/Managerial Control Oct 20, 2009 100%
Steven D Lysne Individual Corporate Director Oct 20, 2009
John Coughlin Individual Corporate Director Oct 15, 2008
Scott E Knutson Individual Corporate Director Jan 1, 2015
Trinity Health Organization, Minot, ND Non-profit 5% Or Greater Direct Ownership Interest Oct 20, 2009
Operational/Managerial Control Oct 20, 2009 100%
Danielle Alsadon Individual W-2 Managing Employee Jan 1, 2018
Thomas Warsocki Individual Corporate Officer Oct 20, 2009
Renae Lenertz Individual W-2 Managing Employee Feb 1, 2020
Randy J Schwan Individual W-2 Managing Employee Oct 20, 2009

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity HospitalsMinot, ND, CCN 350006 Hospital Operational/Managerial Control Oct 20, 2009
Trinity Hospitals RehabMinot, ND, CCN 35T006 Hospital Operational/Managerial Control Oct 20, 2009
Trinity Hospitals SNFMinot, ND, CCN 355074 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF
Nov 18, 1987
Nov 18, 1987
Apr 3, 2025
Trinity Hospitals Home HealthMinot, ND, CCN 357044A Home health agency Operational/Managerial Control Feb 1, 2010

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1417079211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5020",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025020",
            "telephone_number": "701-418-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 3RD ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-857-5178",
            "fax_number": "701-857-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "KUTCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "701-418-8000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460630",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Hospitals Psych",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Hospitals Psych",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Hospitals St Joseph's Psych",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.