Spirit Lake Health Center

LBN: Spirit Lake Health Center
Spirit Lake Health Center is an health care organization with primary practice located at 3883 74Th Ave Ne , Fort Totten ND 58335-0309. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mammography, which is considered as the primary health care specialty. Spirit Lake Health Center can be contacted via phone (701) 766-1600, or through Byrum, Colettte A via phone (701) 766-1629.

Contact Information

Primary practice address
3883 74Th Ave Ne Fort Totten ND 58335-0309
Phone: (701) 766-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Byrum, Colettte A BSRT(R)(M)
Phone: (701) 766-1629

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1134303795
LBN Legal business name Spirit Lake Health Center
DBA Doing business as
Authorized official Byrum, Colettte A BSRT(R)(M)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 2007 - about 17 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 1134303795 NPPES
North Dakota MEDICAID 001061

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