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 , Ft Totten ND 58301. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, Federal, which is considered as the primary health care specialty. Spirit Lake Health Center can be contacted via phone (701) 766-1612, or through Martell, Darren via phone (701) 766-1600.

Contact Information

Primary practice address
3883 74Th Ave Ne Ft Totten ND 58301
Phone: (701) 766-1612
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martell, Darren
Phone: (701) 766-1600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X AU46983207

Profile Details

NPI number 1548323314
LBN Legal business name Spirit Lake Health Center
DBA Doing business as
Authorized official Martell, Darren
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1548323314 NPPES
North Dakota MEDICAID 01056
North Dakota Other 3503693

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