SPIRIT LAKE TRIBE (NPI# 1720152457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720152457 |
| Entity Type | Organization |
| Organization Name | SPIRIT LAKE TRIBE |
| Other Organization Name | EARLY CHILDHOOD TRACKING |
| Practice Address |
416 2nd Avenue North Fort Totten ND 58335 |
| Mailing Address |
416 2nd Avenue North Po Box 489 Fort Totten ND 58335 |
| Practice Telephone | 7017661238 |
| Practice Fax Number | 7017661260 |
| Mailing Telephone | 7017661238 |
| Mailing Fax Number | 7017661260 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | PEGGY L. CAVANAUGH (TRIBAL CHAIRPERSON) |
| Authorized Official Telephone | 7013812006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1325 | 05 |
| Other Name | Type Code |
|---|---|
| Early Childhood Tracking | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053515783 | Spirit Lake Tribe | Ambulance | 1403 Brunswick Ave, Fort Totten, ND 58335-0449 | 2007-06-14 |
| 1740387059 | Spirit Lake Tribe | Ambulance | 7686 Ephriam Hill Road, Fort Totten, ND 58335 | 2006-09-20 |
| 1821622010 | Spirit Lake Tribe | Non-emergency Medical Transport (VAN) | 3883 74th Ave Ne, Fort Totten, ND 58335-0309 | 2020-02-26 |
| 1225576341 | Spirit Lake Tribe | Internal Medicine | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2017-02-09 |
| 1417408907 | Spirit Lake Tribe | Optometrist | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1144771650 | Spirit Lake Tribe | Social Worker | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1609327196 | Spirit Lake Tribe | Psychiatry & Neurology | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1508317090 | Spirit Lake Tribe | Dentist | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1912458407 | Spirit Lake Tribe | Radiology | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1063963551 | Spirit Lake Tribe | Physician Assistant | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPIRIT LAKE TRIBE | 816 3 Ave N, Fort Totten, ND 58335-9998 |
| Street Address |
416 2ND AVENUE NORTH |
| City | FORT TOTTEN |
| State | ND |
| Zip Code | 58335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941116 | Sherry Yvonne Longie | Technician | 213 Dakotah Dr. #53, Fort Totten, ND 58335 | 2020-10-29 |
| 1235650250 | Tiffaney Anne Two Eagle | Registered Nurse | 3883 74th Avenue Northeast, Fort Totten, ND 58335 | 2017-06-29 |
| 1093015265 | Spirit Lake Head Start | Clinic/Center | 816 3rd Ave North, Fort Totten, ND 58335 | 2010-10-22 |
| 1154532000 | Nancy C Dauphinais | Technician, Pathology | 3883 74th Avenue North East, Fort Totten, ND 58335 | 2007-05-24 |
| 1467575159 | Jeanette Lucille Rosenheim | Registered Nurse | Spirit Lake Health Center, 3883 74th Ave Ne Box 309, Fort Totten, ND 58335 | 2007-04-09 |
| 1184744518 | Tammy Delaine Lawrence | Registered Nurse | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2007-03-30 |
| 1821127036 | Evangeline S. Gaid | Family Medicine | 3883 74th Ave.ne, Ft. Totten, ND 58335 | 2007-03-05 |
| 1538296199 | Cheri J Schaffer | Registered Nurse | 3883 74th Ave North East, Fort Totten, ND 58335 | 2007-02-28 |
| 1689762171 | Cynthia Anne Gunderson | Pharmacist | 3883 74th Ave Ne, Ft Totten, ND 58335 | 2006-10-10 |
| 1740387059 | Spirit Lake Tribe | Ambulance | 7686 Ephriam Hill Road, Fort Totten, ND 58335 | 2006-09-20 |
| Find all providers in zip 58335 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508374901 | Burke County Social Services | Case Management | 103 Main Street Se, Bowbells, ND 58721 | 2018-01-19 |
| 1295243277 | Renville County Social Services | Case Management | 205 Main St E, Mohall, ND 58761-4014 | 2018-01-12 |
| 1033596184 | Emmons County Social Services | Case Management | 100 4th St. Nw, Linton, ND 58552 | 2015-04-28 |
| 1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
| 1326439480 | Grant County Social Service | Case Management | 106 2nd Ave North East, Carson, ND 58529 | 2015-02-11 |
| 1447641931 | Dakota Central Social Services | Case Management | 712 5th Ave, Washburn, ND 58577-4352 | 2015-02-05 |
| 1144610536 | Burleigh County Special Education Unit | Case Management | 4007 State St, Ste 101, Bismarck, ND 58503-0648 | 2015-01-23 |
| 1245628684 | Dunn County Social Services | Case Management | 125 Central Ave North, Killdeer, ND 58640 | 2015-01-08 |
| 1831593607 | Northland Healthcare Alliance | Case Management | 2223 E Rosser Ave, Bismarck, ND 58501-4949 | 2014-10-22 |
| 1336543701 | Traill County Government | Case Management | 114 West Caledonia Ave., Hillsboro, ND 58045-0190 | 2014-10-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT TOTTEN |
| Zip Code | 58335 |
Please comment or provide details below to improve the information on SPIRIT LAKE TRIBE.
| 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.