ALTRU HEALTH SYSTEM (NPI# 1124117692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124117692 |
| Entity Type | Organization |
| Organization Name | ALTRU HEALTH SYSTEM |
| Other Organization Name | ALTRU HEALTH SYSTEM - RENAL DIALYSIS - DEVILS LAKE |
| Practice Address |
1031 7th St Ne Devils Lake ND 58301-2719 |
| Mailing Address |
Po Box 13780 Grand Forks ND 58208-3780 |
| Practice Telephone | 7016629670 |
| Mailing Telephone | 7016629670 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-04-21 |
| 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 | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Altru Health System - Renal Dialysis - Devils Lake | Doing Business As Name - Organization |
| 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 |
| Street Address |
1031 7TH ST NE |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009038 | Mercy Hospital of Devils Lake | Hospice Care, Community Based | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
| 1427660836 | Kimberly Sue Svidal | Nurse Practitioner | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2020-08-18 |
| 1447892591 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2019-10-10 |
| 1164945994 | Carlee Lynn Thomson | Nurse Practitioner | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2017-07-24 |
| 1548715550 | Ashley Sebelius | Physical Therapist | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2016-08-19 |
| 1528470598 | Cory Schuh | Specialist/Technologist | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2014-05-27 |
| 1952530750 | William Frederick Thornton | Nurse Anesthetist, Certified Registered | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2009-07-14 |
| 1861674210 | Medical Imaging Associates | Radiology | 1031 7th St Ne, Devils Lake, ND 58301 | 2007-11-28 |
| 1104911882 | John Erickson | Nurse Anesthetist, Certified Registered | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2006-10-04 |
| 1982798955 | Timothy Wayne Reiner | Nurse Anesthetist, Certified Registered | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892591 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609035997 | Renal Treatment Centers West Inc | Clinic/Center | 413 South 7th St, Oakes, ND 58474-1920 | 2008-06-03 |
| 1356532550 | Davita Dakota Dialysis Center LLC | Clinic/Center | 4474 23rd Ave S, Ste M, Fargo, ND 58104-8795 | 2007-08-05 |
| 1396828547 | Sanford Bismarck | Clinic/Center | #10 N River Rd, Fort Yates, ND 58538 | 2006-10-23 |
| 1083625354 | Three Affiliated Tribes Kidney Dialysis Unit | Clinic/Center | 9281 Highway 23, New Town, ND 58763-9407 | 2006-08-11 |
| 1003809948 | Kidney Institute of North Dakota, LLC | Clinic/Center | 1451 - 44th Avenue South Suite 112-d, Grand Forks, ND 58201-4055 | 2005-08-25 |
| 1740822899 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2019-10-10 |
| 1417143710 | Aurora Dialysis, LLC | Clinic/Center | 1451 44th Ave S, Suite 104d, Grand Forks, ND 58201-3434 | 2007-09-20 |
| 1821154253 | Sanford Medical Center Fargo | Clinic/Center | 2801 University Dr S, Fargo, ND 58103-6029 | 2006-12-29 |
| 1972667673 | St. Alexius Medical Center | Clinic/Center | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-12-20 |
| 1376605600 | St. Alexius Medical Center | Clinic/Center | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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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.