Spectra Health

LBN: Spectra Health
Spectra Health is an health care organization with primary practice located at 607 Towner Ave , Larimore ND 58251. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Spectra Health can be contacted via phone (701) 343-6418, or through Shannon, Ben via phone (701) 757-2812.

Contact Information

Primary practice address
607 Towner Ave Larimore ND 58251
Phone: (701) 343-6418
Fax: (701) 343-2937
Website:
Map and Directions
Authorized official contact:
Name: Shannon, Ben
Phone: (701) 757-2812

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1255317905
LBN Legal business name Spectra Health
DBA Doing business as
Authorized official Shannon, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 10th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255317905 NPPES
North Dakota MEDICAID 05908

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