ALTRU HEALTH SYSTEM (NPI# 1740475847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740475847 |
| Entity Type | Organization |
| Organization Name | ALTRU HEALTH SYSTEM |
| Other Organization Name | ALTRU HEALTH SYSTEM (CHRONIC PAIN PROGRAM) |
| Practice Address |
1300 S Columbia Rd Grand Forks ND 58201-4012 |
| Mailing Address |
1300 South Columbia Road Grand Forks ND 58206-6002 |
| Practice Telephone | 7017805000 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | STEVEN WEISERR (PRESIDENT) |
| Authorized Official Telephone | 7017805000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Altru Health System (Chronic Pain Program) | 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 |
1300 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512885 | Bradley P Belluk | Surgery | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2005-07-14 |
| 1306464219 | Leanne Kilzer | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2020-07-07 |
| 1952957847 | Arthur Thorsen | Physician Assistant | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2019-08-15 |
| 1194386581 | Marlie Borowicz | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-26 |
| 1881255503 | Jenna Arnold | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-24 |
| 1720560600 | Maddie Victoria Bjornstad | Occupational Therapist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-09-06 |
| 1609352657 | Jenna Carpenter | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-12 |
| 1053897074 | Laura Goor | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2018-07-12 |
| 1700362969 | Emily Kay Voeller | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-11 |
| 1942796115 | Alison Schoenborn | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437248945 | Altru Health System | Rehabilitation Unit | 4500 S Washington St, Grand Forks, ND 58201-7217 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811014160 | James River Correctional Center Pharmacy | Rehabilitation Unit | 2521 Circle Dr, Jamestown, ND 58401-6904 | 2007-03-23 |
| 1083736888 | Trinity Hospitals | Rehabilitation Unit | 407 3rd St Se, Minot, ND 58701 | 2007-04-04 |
| 1285795450 | Sanford Medical Center Fargo | Rehabilitation Unit | 1720 University Dr S, Fargo, ND 58103-4940 | 2006-12-12 |
| 1184701237 | St. Alexius Medical Center | Rehabilitation Unit | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-11-01 |
| 1700962800 | Sanford Bismarck | Rehabilitation Unit | 300 N 7th St, Bismarck, ND 58506-5525 | 2006-10-31 |
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.