Spirit Lake Health Center Pharmacy
LBN: Spirit Lake Health Center Pharmacy
Spirit Lake Health Center Pharmacy is an health care organization with primary practice located at 3883 74Th Ave Ne , Fort Totten ND 58335. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty.
Spirit Lake Health Center Pharmacy can be contacted via phone (701) 766-1612, or through Cummings, James via phone (405) 951-6086.
Contact Information
Primary practice address
3883 74Th Ave Ne
Fort Totten ND 58335
Phone: (701) 766-1612
Fax: (701) 766-1625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1568592137 |
|---|---|
| LBN Legal business name | Spirit Lake Health Center Pharmacy |
| DBA Doing business as | Spirit Lake Health Center Pharmacy |
| Authorized official | Cummings, James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Mar 7th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568592137 | NPPES |
| North Dakota | MEDICAID | 01051 | |
| North Dakota | MEDICAID | 1061SP | |
| North Dakota | Other | 3503693 |
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