ALTRU HEALTH SYSTEM (NPI# 1083189203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083189203 |
| Entity Type | Organization |
| Organization Name | ALTRU HEALTH SYSTEM |
| Practice Address |
23076 347th Street Se Erskine MN 56535-9466 |
| Mailing Address |
23076 347th St Se Erskine MN 56535-9466 |
| Practice Telephone | 9526532565 |
| Practice Fax Number | 9526532540 |
| Mailing Telephone | 9526532565 |
| Mailing Fax Number | 9526532540 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2020-04-21 |
| NPI Deactivation Date | 08/07/2019 |
| NPI Reactivation Date | 2019-11-13 |
| Authorized Official Name | DR. STEVEN WEISER (PRESIDENT) |
| Authorized Official Telephone | 7017805000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1053400523 | Altru Health System | Clinic/Center | 301 Mountain St E Ste A, Cavalier, ND 58220-4015 | 2006-10-12 |
| Street Address |
23076 347TH STREET SE |
| City | ERSKINE |
| State | MN |
| Zip Code | 56535-9466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318901 | All Pro Transport Service | Private Vehicle | 34585 Us Hwy 59 Se, Erskine, MN 56535 | 2020-08-28 |
| 1932498219 | First Care Medical Services | Clinic/Center | 101 Vance Avenue, Erskine, MN 56535-0000 | 2011-04-07 |
| 1699055863 | Garden Valley Telephone Company | Emergency Response System Companies | 201 Ross Avenue, Erskine, MN 56535-0259 | 2011-08-19 |
| 1871890608 | Red River Special Transport Service LLC. | Non-emergency Medical Transport (VAN) | 21797 380th St Se, Erskine, MN 56535-9452 | 2011-02-14 |
| 1881206522 | Ivan Kuznetsov | Private Vehicle | 34585 Us Highway 59 Se, Erskine, MN 56535-9465 | 2020-08-22 |
| 1952949760 | Ashley Combs | Occupational Therapist | 23076 347th St Se, Erskine, MN 56535-9466 | 2019-12-12 |
| 1285626671 | Pioneer Memorial Care Center | Skilled Nursing Facility | 23028 347th St Se, Erskine, MN 56535-9466 | 2005-08-22 |
| 1992892343 | Win-e-mac Schools Independent School Distict No 2609 | Local Education Agency (LEA) | 23130 345th St Se, Erskine, MN 56535-9468 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318901 | All Pro Transport Service | Private Vehicle | 34585 Us Hwy 59 Se, Erskine, MN 56535 | 2020-08-28 |
| 1881206522 | Ivan Kuznetsov | Private Vehicle | 34585 Us Highway 59 Se, Erskine, MN 56535-9465 | 2020-08-22 |
| 1699055863 | Garden Valley Telephone Company | Emergency Response System Companies | 201 Ross Avenue, Erskine, MN 56535-0259 | 2011-08-19 |
| 1932498219 | First Care Medical Services | Clinic/Center | 101 Vance Avenue, Erskine, MN 56535-0000 | 2011-04-07 |
| 1871890608 | Red River Special Transport Service LLC. | Non-emergency Medical Transport (VAN) | 21797 380th St Se, Erskine, MN 56535-9452 | 2011-02-14 |
| 1992892343 | Win-e-mac Schools Independent School Distict No 2609 | Local Education Agency (LEA) | 23130 345th St Se, Erskine, MN 56535-9468 | 2006-10-06 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| Find all providers with the same taxonomy | ||||
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| 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.