Organization · Type 2 NPI

Spectra Health

Federally Qualified Health Center (FQHC) · Larimore, ND

NPI number 1104490622 Active

Practice location

607 Towner Ave
Larimore, ND 58251-4501

Call (701) 343-6418 Map

Mailing address

212 S 4th St Ste 200
Grand Forks, ND 58201-4781

Other practice locations

212 S 4th St Ste 301, Grand Forks, ND 58201-4776 · (701) 757-2100

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Spectra HealthFederally Qualified Health Center (FQHC) Larimore, ND NPI 1255317905

Other federally qualified health center (fqhc) providers in Larimore

Spectra HealthFederally Qualified Health Center (FQHC) Larimore, ND NPI 1255317905

See all in Larimore →

NPI record

NPI: 1104490622
Entity type: Organization (Type 2)
Issued: May 19, 2021
Last updated: Sep 13, 2021
Status: Active

Other names

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Valley Community Health Centers · former legal business name
Valley Community Health Centers · former legal business name

Authorized official

Tiffany Schmidt, MBA, CPA
CFO
(701) 757-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104490622

Spectra Health's National Provider Identifier is 1104490622, issued on May 19, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Larimore, ND. The record was last updated on Sep 13, 2021.