ALTRU HEALTH SYSTEM


Address: 725 Hamline St, Grand Forks, ND 58203-2819
Phone: 7017806870

ALTRU HEALTH SYSTEM (NPI# 1144368085) 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) 1144368085
Entity Type Organization
Organization Name ALTRU HEALTH SYSTEM
Other Organization Name FAMILY MEDICINE RESIDENCY PHARMACY
Practice Address 725 Hamline St
Grand Forks
ND 58203-2819
Practice Telephone 7017806870
Practice Fax Number 7017806878
Mailing Telephone 7017806870
Mailing Fax Number 7017806878
Enumeration Date 2007-02-02
Last Update Date 2016-08-05
Authorized Official Name JOELLEN MCGAUVRAN (SUPERVISOR)
Authorized Official Telephone 7017806870
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
PHAR477 ND Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2071404 01
ND 21082 05
MN 574155600 05

Other Provider/Organization Names

Other Name Type Code
FAMILY MEDICINE RESIDENCY PHARMACY 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 725 HAMLINE ST
City GRAND FORKS
State ND
Zip Code 58203-2819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063430122 A Marc Nielsen Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2006-07-17
1093335622 Kelsie Brooks Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
1124648753 Caitlin Sisson Student in an Organized Health Care Education/Training Program 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
1245850866 Allison Daniel Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
1316567944 Whitney Tingle Student in an Organized Health Care Education/Training Program 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
1922628551 Ashlyn Kamrath Student in an Organized Health Care Education/Training Program 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
1194345736 Ashley Skonieczny Student in an Organized Health Care Education/Training Program 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
1922668938 Olivia Fleming Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2019-06-20
1285294348 Carl Liebe Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2019-06-19
1407416563 Daniel Hoy Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2019-06-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326354978 Valley Med Flight Inc Ambulance 2403 Air Cargo Dr, Grand Forks, ND 58203 2010-08-20
1285842765 Amanda Caroline Ostlie Physical Therapy Assistant 1809 5th Ave N, Grand Forks, ND 58203 2007-05-18
1346396314 Carla Steen Speech-Language Pathologist 501 N Columbia Rd Stop 8040, Grand Forks, ND 58203 2007-01-25
1457408239 Rebecca Ann Westereng Dietitian, Registered 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 2007-01-04
1912063587 Northridge Counseling Centre Inc Counselor 215 N 3rd Street, Suite 202a, Grand Forks, ND 58203 2006-12-28
1245318625 Charles Lee Bridgeford Dentist 117 North Washington Street, Grand Forks, ND 58203 2006-11-01
1497833933 Casey J Ryan Internal Medicine 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 2006-11-01
1033217955 Diane Kay Baumbach Social Worker 2755 10th Ave N, Grand Forks, ND 58203 2006-09-21
1841217320 Heidi J Philpot Family Medicine 725 Hamline Street, Grand Forks, ND 58203 2006-07-17
1902415805 Aura Patricia Ileto Azarcon Student in an Organized Health Care Education/Training Program 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 2020-07-27
Find all providers in zip 58203

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194805796 North Dakota State University Pharmacy 301 Np Avenue, Fargo, ND 58102 2006-10-17
1811939416 North Dakota State University Pharmacy 1707 Centennial Blvd, Fargo, ND 58102 2006-06-11
1972000768 North Dakota State University Pharmacy 4025 9th Ave S, Fargo, ND 58103-2101 2018-04-09
1265884308 Spirit Lake Tribe Pharmacy 3883 74th Ave Ne, Fort Totten, ND 58335 2016-07-12
1730307125 Trenton Indian Service Area Pharmacy 331 4th Ave E, Trenton, ND 58853-9998 2007-04-23
1639254113 Prescription Center Pharmacy Inc. Pharmacy 2701 13th Ave S, Fargo, ND 58103-3602 2006-10-25

Competitor

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City GRAND FORKS
Zip Code 58203

Improve Information

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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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