SPECTRA HEALTH NPI 1104490622

NPI Information

  • NPI: 1104490622
  • Provider Name: SPECTRA HEALTH
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Former Legal Business Name: VALLEY COMMUNITY HEALTH CENTERS
  • Address: 607 TOWNER AVE
    LARIMORE, ND
    ZIP 58251
  • Phone: (701) 343-6418

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NPI Details

SPECTRA HEALTH is a federally qualified health center (fqhc) clinic center in Larimore, ND. SPECTRA HEALTH NPI is 1104490622. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Valley Community Health Centers.

The provider's business location address is:

607 TOWNER AVE
LARIMORE, ND
ZIP 58251-501
Phone: (701) 343-6418

The provider's authorized official is Tiffany Schmidt .
The authorized official title is Cfo and has the following contact phone number (701) 757-2100.

The enumeration date for this NPI number is 5/19/2021 and was last updated on 9/13/2021.

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
1111N00000XChiropractorNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
11461963MEDICAIDNORTH DAKOTA
21461598MEDICAIDNORTH 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: 11/21/2025

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