Spirit Lake Health Center
LBN: Spirit Lake Tribe
Spirit Lake Health Center is an health care organization with primary practice located at 3883 74Th Ave Ne , Fort Totten ND 58335. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Podiatric, Ambulatory Health Care Facilities / Radiology, Mammography, Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Health Service is the primary health care specialty.
Spirit Lake Tribe can be contacted via phone (701) 766-1600, or through Krulish, Arlene via phone (701) 766-1607.
Contact Information
Primary practice address
3883 74Th Ave Ne
Fort Totten ND 58335
Phone: (701) 766-1600
Fax: (701) 766-1630
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
Ambulatory Health Care Facilities / Podiatric | 261QP1100X | ||
Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X | ||
Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
NPI number | 1114472891 |
---|---|
LBN Legal business name | Spirit Lake Tribe |
DBA Doing business as | Spirit Lake Health Center |
Authorized official | Krulish, Arlene |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 23rd, 2016 |
Last updated | Apr 7th, 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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