ALTRU FAMILY MEDICINE CENTER


Address: 1380 S Columbia Rd, Grand Forks, ND 58201-4059
Phone: 7017952230

ALTRU FAMILY MEDICINE CENTER (NPI# 1174662852) 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) 1174662852
Entity Type Organization
Organization Name ALTRU FAMILY MEDICINE CENTER
Practice Address 1380 S Columbia Rd
Grand Forks
ND 58201-4059
Mailing Address 5626 Oberlin Dr
Suite 110
San Diego
CA 92121-1705
Practice Telephone 7017952230
Mailing Telephone 8586252990
Mailing Fax Number 8586252999
Enumeration Date 2007-02-06
Last Update Date 2012-10-16
Authorized Official Name MR. KENNY HEINE (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 8586252990
Is Organization Subpart Y
Parent Organization Name MEDVANTX, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site 5809 ND Suppliers

Office Location

Street Address 1380 S COLUMBIA RD
City GRAND FORKS
State ND
Zip Code 58201-4059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639195357 Christian R Dequet Internal Medicine 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2006-07-14
1356972665 Leslie Erica Rodriguez Nurse Practitioner 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2020-01-27
1548812704 Jennifer Hayes Physician Assistant 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2019-07-09
1922669324 Megan Price Social Worker 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2019-06-26
1093201402 Beth Brynjulson Nurse Practitioner 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2018-07-09
1700371952 Ashley Ann Nephew Nurse Practitioner 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2018-06-28
1366965527 Kelsey Anne Adams Nurse Practitioner 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2017-07-19
1114466828 Altru Health System Clinic/Center 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2017-02-14
1417367996 Joshua Kenneth Sayler Obstetrics & Gynecology 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2014-05-06
1811334030 Shannon Holsen Family Medicine 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2013-05-29
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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
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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 city

NPI Name Taxonomy Address Enumeration
1457629834 Altru Health System Non-Pharmacy Dispensing Site 1200 S Columbia Rd, Grand Forks, ND 58201-4036 2011-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700444619 St Alexius Medical Center Non-Pharmacy Dispensing Site 807 East Main Suite A, Bismarck, ND 58503 2019-06-05
1437717576 St Alexius Medical Center Non-Pharmacy Dispensing Site 921 W Interstate Ave, Bismarck, ND 58503-0955 2019-06-04
1275675118 Internal Medicine Associates, Ltd. Non-Pharmacy Dispensing Site 1707 Gold Dr S, Suite 101, Fargo, ND 58103-6413 2007-02-13
1548870520 Mckenzie County Healthcare Systems Inc Non-Pharmacy Dispensing Site 709 4th Ave Ne, Watford City, ND 58854-7628 2020-08-05
1538727441 St Alexius Medical Center Non-Pharmacy Dispensing Site 4315 Ottawa St, Bismarck, ND 58503 2019-06-05
1144710658 Innovis Health, LLC Non-Pharmacy Dispensing Site 4110 51st Ave S, Fargo, ND 58104-7776 2018-05-10
1225433485 St Josephs Hospital and Health Center Non-Pharmacy Dispensing Site 30 7th St W, Dickinson, ND 58601-4335 2014-10-30
1073867263 Hans Bjellum Md PC Non-Pharmacy Dispensing Site 1100 19th Ave N, Fargo, ND 58102-5906 2012-11-09
1790060937 Mercy Medical Center Non-Pharmacy Dispensing Site 1301 15th Ave W, Williston, ND 58801-3821 2011-10-19
1679869697 Hans Bjellum, Md, PC Non-Pharmacy Dispensing Site 4622 40th Ave S, Fargo, ND 58104-4394 2011-06-28
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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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