Organization · Type 2 NPI

Spirit Lake Tribe

Health Service Clinic/Center · Fort Totten, ND

NPI number 1114472891 Active

Practice location

3883 74th Ave NE
Fort Totten, ND 58335

Call (701) 766-1600 Map

Fax (701) 766-1630

Mailing address

PO Box 309
Fort Totten, ND 58335-0309

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Podiatric Clinic/Center	261QP1100X	None listed
Mammography Clinic/Center	261QR0206X	None listed
Clinical Medical Laboratory	291U00000X	None listed

Health Service Clinic/Center: Definition to come...

43 other providers at this address

Other health service clinic/center providers in Fort Totten

Spirit Lake Health CenterHealth Service Clinic/Center Fort Totten, ND NPI 1073665493

See all in Fort Totten →

NPI record

NPI: 1114472891
Entity type: Organization (Type 2)
Issued: Aug 23, 2016
Last updated: Apr 7, 2020
Status: Active
Subpart: Yes of Spirit Lake Tribe

Other names

<unavail>
Spirit Lake Health Center · doing business as
Spirit Lake Health Center · doing business as

Authorized official

Arlene Krulish
CEO
(701) 766-1607

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 1114472891

Spirit Lake Tribe's National Provider Identifier is 1114472891, issued on Aug 23, 2016. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Fort Totten, ND. The record was last updated on Apr 7, 2020.