NPIMap

Organization Active NPI

Trinity Health

Doing business as TCC-Western Dakota X-Ray

  • Radiology Clinic/Center
  • Williston, ND
National Provider Identifier
1962738542
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TRINITY HEALTH
Doing business as
TCC-Western Dakota X-Ray
Practice address
1321 W Dakota Pkwy
Williston, ND 58801-3807
Phone
(701) 572-7711
Fax
(701) 572-0566
NPI assigned
Nov 2, 2009
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 Kutch
Title
Ceo
Phone
(701) 418-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

1321 W Dakota Pkwy
Williston, ND 58801-3807

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1473290MedicaidND

Other names 2

  • TCC-Western Dakota X-Ray Doing business as
  • Trinity Health Western Dakota Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000316 ND Part B Supplier - Clinic/Group Practice 7911816020 Receives reassigned benefits from 354 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minot, ND; Williston, ND; Velva, ND; New Town, ND; Mohall, ND; Devils Lake, ND; Garrison, ND

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Part of
Western Dakota Medical

Locations

1 Burdick Expy W
Minot, ND 58701
Phone (701) 857-5124

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

1500 24th Ave SW
Minot, ND 58701
Phone (701) 857-5343

2815 16th St SW
Ste 100
Minot, ND 58701
Phone (701) 857-2900

1321 W Dakota Pkwy
Williston, ND 58801
Phone (701) 572-7641

Practitioners & affiliated clinicians

Practitioners 75

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.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1962738542",
    "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": "1321 W DAKOTA PKWY",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013807",
            "telephone_number": "701-572-7711",
            "fax_number": "701-572-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH",
        "enumeration_date": "2009-11-02",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "KUTCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-418-8000"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473290",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCC-Western Dakota X-Ray",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TCC-Western Dakota X-Ray",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Health Western Dakota",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.