SPIRIT LAKE TRIBE NPI 1821622010

NPI Information

  • NPI: 1821622010
  • Provider Name: SPIRIT LAKE TRIBE
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • CLIA Number: 35D2149734
  • Address: 3883 74TH AVE NE
    FORT TOTTEN, ND
    ZIP 58335
  • Phone: (701) 766-1600

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NPI Details

SPIRIT LAKE TRIBE is a non emergency medical transport van in Fort Totten, ND. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. SPIRIT LAKE TRIBE NPI is 1821622010. 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
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 CLIA number assigned to this NPI record is 35D2149734 - other - health tracks (ect) with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2020 and was last updated on 2/26/2020.

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 License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)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
11470084MEDICAIDNORTH 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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