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ALTRU HEALTH SYSTEM NPI 1912632449


NPI Information

NPI: 1912632449
Provider Name: ALTRU HEALTH SYSTEM

Doing Business As: ALTRU CLINIC - DEVILS LAKE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 35D0408629

Address:
1001 7TH ST NE
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 662-2157
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ALTRU HEALTH SYSTEM is a rural health clinic center in Devils Lake, ND. ALTRU HEALTH SYSTEM NPI is 1912632449. The provider is registered as an organization entity type.
The provider Is Doing Business As Altru Clinic - Devils Lake.

The provider's business location address is:

1001 7TH ST NE
DEVILS LAKE, ND
ZIP 58301-719
Phone: (701) 662-2157

The provider's authorized official is Teresa Moe .
The authorized official title is Director Of Payor Contracting and has the following contact phone number (701) 780-5221.

The CLIA number assigned to this NPI record is 35D0408629 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/19/2022 and was last updated on 12/19/2022.


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
1261QR1300XClinic/CenterRural HealthYes

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

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