ALTRU HEALTH SYSTEM


Address: 4401 S 11th St, Grand Forks, ND 58201-7238
Phone: 7017327620

ALTRU HEALTH SYSTEM (NPI# 1053850743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053850743
Entity Type Organization
Organization Name ALTRU HEALTH SYSTEM
Other Organization Name SANNY & JERRY RYAN CENTER FOR PREVENTION AND GENETICS
Practice Address 4401 S 11th St
Grand Forks
ND 58201-7238
Practice Telephone 7017327620
Enumeration Date 2017-02-15
Last Update Date 2017-02-15
Authorized Official Name HEATHER STRANDELL (ADMINISTRATOR)
Authorized Official Telephone 7017805344
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ND 1460648 05

Other Provider/Organization Names

Other Name Type Code
Sanny & Jerry Ryan Center for Prevention and Genetics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902421316 Altru Health System Assisted Living Facility 605 5th Ave Nw, East Grand Forks, MN 56721 2020-06-11
1174148506 Altru Health System Assisted Living Facility 523 Arnold Ave S, Thief River Falls, MN 56701-3500 2020-06-11
1104441641 Altru Health System Clinic/Center 233 Towner Ave, Larimore, ND 58251 2020-06-10
1689299125 Altru Health System Clinic/Center 1st & Roosevelt, Karlstad, MN 56732 2020-06-10
1053936583 Altru Health System Assisted Living Facility 1006 Greenwood St E, Thief River Falls, MN 56701-4120 2020-06-10
1083239776 Altru Health System Assisted Living Facility 4004 24th Ave S, Grand Forks, ND 58201-8863 2020-06-09
1083189203 Altru Health System Family Medicine 23076 347th Street Se, Erskine, MN 56535-9466 2018-10-04
1285074328 Altru Health System Clinic/Center 1845 Highway 59 S Ste 800, Thief River Falls, MN 56701-4318 2013-07-03
1871682344 Altru Health System Clinic/Center 312 International Dr, Red Lake Falls, MN 56750-4603 2006-10-12
1437248945 Altru Health System Rehabilitation Unit 4500 S Washington St, Grand Forks, ND 58201-7217 2006-10-12

Office Location

Street Address 4401 S 11TH ST
City GRAND FORKS
State ND
Zip Code 58201-7238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881844199 Ashlee Dagoberg Physical Therapist 4401 S 11th St, Grand Forks, ND 58201 2008-09-23
1275954539 Jessica Wald Massage Therapist 4401 S 11th St, Grand Forks, ND 58201-7238 2014-01-03
1649607763 Will W Bayne Massage Therapist 4401 S 11th St, Grand Forks, ND 58201-7238 2013-10-03
1124366810 Erin Snyder Specialist 4401 S 11th St, Grand Forks, ND 58201-7238 2013-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
Find all providers in zip 58201

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720588171 Ideal Option, Pllc Clinic/Center 3301 30th Ave S Ste 102, Grand Forks, ND 58201-6009 2018-02-12
1356715841 Great Northern Dental Care Clinic/Center 667 Demers Ave Ste 1002, Grand Forks, ND 58201-4500 2015-11-20
1508115361 Welcore Health,llc Clinic/Center 1720 Willow Dr, Grand Forks, ND 58201-8107 2012-09-07
1407909120 Brian V Jongeward Clinic/Center 2812 17th Ave S Ste C, Grand Forks, ND 58201-4048 2007-01-18
1215990791 Northland Family Physicians LLC Clinic/Center 2650 32nd Ave S Ste D, Grand Forks, ND 58201-6541 2006-04-07
1598206278 Altru Health System Clinic/Center 1300 S Columbia Rd, Grand Forks, ND 58201-4012 2017-03-15
1316488091 Altru Health System Clinic/Center 4500 S Washington St, Grand Forks, ND 58201-7217 2017-03-15
1417498197 Altru Health System Clinic/Center 1200 S Columbia Rd, Grand Forks, ND 58201-4036 2017-03-15
1962941658 Altru Health System Clinic/Center 3165 Demers Ave, Grand Forks, ND 58201-4049 2017-02-15
1699214387 Altru Health System Clinic/Center 4440 S Washington St, Grand Forks, ND 58201-7245 2017-02-15
Find all providers in GRAND FORKS

Competitor

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City GRAND FORKS
Zip Code 58201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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