SPIRIT LAKE HEALTH CENTER NPI 1073665493

NPI Information

NPI: 1073665493
Provider Name: SPIRIT LAKE HEALTH CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3883 74TH AVE NE
FORT TOTTEN, ND
ZIP 58335
Phone: (701) 766-1600
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SPIRIT LAKE HEALTH CENTER is a health service clinic center in Fort Totten, ND. SPIRIT LAKE HEALTH CENTER NPI is 1073665493. The provider is registered as an organization entity type.

The provider's business location address is:

3883 74TH AVE NE
FORT TOTTEN, ND
ZIP 58335-309
Phone: (701) 766-1600

The provider's authorized official is Arlene M Krulish .
The authorized official title is Ceo and has the following contact phone number (701) 766-1600.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service		NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01061	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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