ALTRU HEALTH SYSTEM (NPI# 1639372154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639372154 |
| Entity Type | Organization |
| Organization Name | ALTRU HEALTH SYSTEM |
| Other Organization Name | ALTRU CLINIC MAIN - ASC |
| Practice Address |
1000 South Columbia Road Grand Forks ND 58206-6002 |
| Mailing Address |
Po Box 6002 Grand Forks ND 58206-6002 |
| Practice Telephone | 7017805000 |
| Practice Fax Number | 7017801942 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | DAVE MOLMEN (CEO) |
| Authorized Official Telephone | 7017805976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 564534400 | 05 |
| Other Name | Type Code |
|---|---|
| Altru Clinic Main - ASC | 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 |
1000 SOUTH COLUMBIA ROAD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58206-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439994 | Darrell Eugene Zeller | Obstetrics & Gynecology | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2005-09-29 |
| 1083163331 | Robert Luke Sorvig | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2016-09-28 |
| 1144618810 | Sarah Ann Gabert | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1053709725 | Max Whitney Stork | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1396133062 | Lisa Lehn Durick | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1588052252 | Kevin Keith Kern | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1205224979 | Brandon M Hallquist | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1730587312 | Jesse Lee Lunde | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| 1558769133 | Brooke Melicher Hanson | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| 1275931859 | Michael Douglas Meier | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619283298 | Brandi Jo Miller | Physical Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2010-08-20 |
| 1659569200 | Janet Lee | Neurological Surgery | 1300 S Columbia Rd, Grand Forks, ND 58206 | 2007-10-09 |
| 1831389857 | Genevieve Marie Ziegler | Occupational Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2007-07-26 |
| 1033493473 | Cheri Langei | Social Worker | 151 S. 4th St, Suite 201, Grand Forks, ND 58206-5196 | 2011-10-04 |
| 1255647657 | Todd James Galbreath | Pharmacist | 1200 So. Columbia Rd., Altru Retail Pharmacy, Grand Forks, ND 58206-6002 | 2010-08-23 |
| 1821236100 | Mariah Rose Dolan | Physical Therapist | 1000 South Columiba Rd, Grand Forks, ND 58206-6002 | 2009-01-26 |
| 1235334269 | Jordan James Wojnarski | Speech-Language Pathologist | 1300 Columbia Road S, Grand Forks, ND 58206-6002 | 2007-06-19 |
| 1669681425 | Sara Elizabeth Bjerke | Specialist/Technologist | 1300 S Columiba Rd, Grand Forks, ND 58206-6002 | 2007-05-21 |
| 1306065602 | Lindsey G Miskavige | Speech-Language Pathologist | 1200 South Columbia Road, Grand Forks, ND 58206-6002 | 2007-04-25 |
| 1396836193 | Bernard Jerome Hoggarth | Pediatrics | 1000 S Columbia Road, Grand Forks, ND 58206-6002 | 2006-09-27 |
| Find all providers in zip 58206 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428272 | North Dakota Surgery Center, LLC | Clinic/Center | 2600 47th Ave South, Grand Forks, ND 58201 | 2005-06-23 |
| 1689842395 | Aurora Surgery Center, LLC | Clinic/Center | 1451 44th Ave S, Suite 221d, Grand Forks, ND 58201-3434 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598185597 | Sanford Bismarck | Clinic/Center | 2615 Fairway Street, Dickinson, ND 58601 | 2014-04-17 |
| 1205082948 | Becker Plastic Surgery Center | Clinic/Center | 1500 Interchange Ave Ste 100, Bismarck, ND 58501 | 2008-08-13 |
| 1649350844 | Northern Plains Surgery Center LLC | Clinic/Center | 44 4th St S, Fargo, ND 58103-1904 | 2006-10-16 |
| 1326144221 | Fm Endoscopy Center LLC | Clinic/Center | 2829 University Dr S Ste 103, Fargo, ND 58103-6050 | 2006-09-16 |
| 1538189907 | Independent Practioners of America, LLC | Clinic/Center | 115 W Century Ave, Suite B, Bismarck, ND 58503 | 2006-07-20 |
| 1215455217 | Dakota Gastroenterology, Ltd | Clinic/Center | 5049 33rd Ave S, Fargo, ND 58104-7080 | 2017-08-30 |
| 1477089126 | Bismarck Sinus Center | Clinic/Center | 2331 Tyler Pkwy, Suite 5, Bismarck, ND 58503-0871 | 2017-05-02 |
| 1184905309 | Abdullah Surgical Center LLC | Clinic/Center | 3280 20th St S, Fargo, ND 58104-5917 | 2011-09-01 |
| 1841526332 | Trinity Health | Clinic/Center | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-10-19 |
| 1487814356 | Bismarck Surgical Associates LLC | Clinic/Center | 106 E Greenfield Ln, Bismarck, ND 58503-6578 | 2008-06-13 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58206 |
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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.