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Spirit Lake Health Center
Federal Public Health Clinic/Center in Ft Totten, North Dakota
NPI 1548323314

Spirit Lake Health Center is a Federal Public Health Clinic/Center based in Fort Totten, ND and is specialized in Public Health, Federal. Spirit Lake Health Center practices in Ft Totten, ND. The NPI Number for Spirit Lake Health Center is 1548323314 and holds a License No. AU46983207 (North Dakota).

The current practice location address for Spirit Lake Health Center is 3883 74Th Ave Ne, Ft Totten, ND and can be reached out via phone at 701-766-1612.

Location: 3883 74Th Ave Ne, Ft Totten, ND, 58335-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548323314
Provider Name
Spirit Lake Health Center
Credential
Provider Entity Type
Organization
Address
3883 74Th Ave Ne, Ft Totten, ND, 58335-0309
Phone Number
701-766-1612
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01056 05 ND
3503693 01 ND NCPDP
institution
Provider Business Practice Location Address Details
Address
3883 74Th Ave Ne
City
Ft Totten
State
North Dakota
Zip
58301
Phone Number
701-766-1612
Fax Number
person
Provider Business Mailing Address Details
Address
3883 74Th Ave Ne
City
Ft Totten
State
North Dakota
Zip
58301
Phone Number
701-766-1612
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, Federal
Taxonomy
261QP0904X
License No.
AU46983207 ()
Definition
Definition to come...
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