SPIRIT LAKE TRIBE NPI 1114472891

NPI Information

NPI: 1114472891
Provider Name: SPIRIT LAKE TRIBE

Doing Business As: 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 TRIBE is a health service clinic center in Fort Totten, ND. SPIRIT LAKE TRIBE NPI is 1114472891. The provider is registered as an organization entity type.
The provider Is Doing Business As Spirit Lake Health Center.

The provider's business location address is:

3883 74TH AVE NE
FORT TOTTEN, ND
ZIP 58335
Phone: (701) 766-1600
Fax: (701) 766-1630

The provider's authorized official is Arlene Krulish .
The authorized official title is Ceo and has the following contact phone number (701) 766-1607.

The enumeration date for this NPI number is 8/23/2016 and was last updated on 4/7/2020.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QP1100X	Clinic/Center	Podiatric	No
3	261QR0206X	Clinic/Center	Radiology, Mammography	No
4	291U00000X	Clinical Medical Laboratory		No
5	261QH0100X	Clinic/Center	Health Service	Yes

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: 5/5/2024

NPI Synchronization or Removal

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