Trenton Indian Service Area Development Corporation

Trenton Indian Service Area Development Corporation, doing business as Trenton Community Clinic, is a tribally owned, federally recognized tribal government entity headquartered in Williston, North Dakota, that operates as a prime recipient of federal grants focused on elder services, child care, nutrition, and diabetes prevention for Native American populations across six counties in North Dakota and Montana. The organization does not compete for federal contracts; all federal funding flows through grant awards where Trenton Community Clinic acts as prime recipient (84% of recent awards) or sub-recipient to state pass-through agencies.

Trenton Community Clinic's customer base concentrates heavily with the Department of Health and Human Services, which accounts for the vast majority of its federal funding footprint. The Administration for Community Living provides 18 awards anchored by Older Americans Act Title VI grants for aging and caregiver support services, while the Administration for Children and Families funds 17 prime awards plus 6 additional awards under the Child Care and Development Fund (CCDBG) and Child Care and Development Block Grant programs. The Department of Agriculture Food and Nutrition Service contributes 9 awards focused on nutrition services for Native Americans. Together, these three agencies account for 91% of recent awards. The organization also receives funding from the HHS Indian Health Service and holds a cooperative agreement with the Office of the Director under the Special Diabetes Program for Indians (CFDA 93.757), running through December 2027, for clinically based diabetes education, prevention, and community health interventions.

Recent prime grant awards include a $122,960 formula grant from the Administration on Aging under the Older Americans Act Title VI, Part A, Grants to Indian Tribes program (CFDA 93.047, awarded April 1, 2026, completion March 31, 2029) for supportive services and nutrition delivery; a $273,708 Child Care and Development Block Grant discretionary award from the Office of Child Care (CFDA 93.575, October 1, 2025 through September 30, 2028) for child care subsidies and early childhood quality improvement; and recurring Older Americans Act Title VI Part C grants for caregiver support. In its sub-recipient capacity, Trenton Community Clinic receives pass-through funding from the North Dakota Department of Public Instruction for the Food Distribution Program on Indian Reservations (FDPIR, CFDA 10.567) and related child nutrition programs, with multiple awards flowing through state administration since 2023. Activity has remained modest but stable at three to eight awards per year over the past five years; only three awards face completion within the next twenty-four months, limiting near-term recompete exposure.