Altru Health System
Organization Active NPI Clinic/Center · Grand Forks, ND
NPI 1043309552 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1043309552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ALTRU HEALTH SYSTEM
- Practice address
- 1300 S Columbia Rd
Grand Forks, ND 58201-4012 - Phone
- (701) 780-5000
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Derek Goebel
- Title
- Chief Financial Officer
- Phone
- (701) 780-1470
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 13
Practitioners 1,044
-
Kenneth Aduba, M.D
-
Lisa Amundgaard-Pagnac, PMHNP-BC
-
Beth Jean Anderson, APRN, CNP
-
Beth A Anvarinia, FNP-C
-
Amanda Joy Arneson, AGNP-C
-
Jenna Arnold, NP
-
Kenneth Chidi Asogwa, M.D.
-
Margaret M Bagley, DNP CRNA
-
Pierre A Barbot, MD
-
Hussain Basrawala, M.D.
-
Tamra Sue Bauduin, PA-C
-
Shelby J. Beattie, CRNA
-
Tyler John Beattie, M.D.
-
Erin Beck, FNP-C
-
Bradley P Belluk, MD
-
Ashley Black, PA-C
-
Brendan McKay Boe, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2317372 | Altru Clinic | Provider-performed microscopy | Jan 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MN, ND
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Altru Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (40%) | May 24, 2021 |
| Valley Senior Living on Columbia |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 1994 May 21, 2025 |
| Woodside Village |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 1994 May 21, 2025 |
| Altru'S Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1997 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000135 | MN | Part B Supplier - Clinic/Group Practice | 1355251604 |
Receives reassigned benefits from 217 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hallock, MN; Warroad, MN; Warren, MN; Thief River Falls, MN; Saint Paul, MN; Roseville, MN; Roseau, MN; Red Lake Falls, MN… |
| O20031111000714 | ND | Part B Supplier - Clinic/Group Practice | 1355251604 |
Receives reassigned benefits from 727 practitioners 3 other NPIs on this enrollment Practice locations: Grand Forks, ND; Minot, ND; Northwood, ND; West Fargo, ND; Cavalier, ND; Devils Lake, ND; Drayton, ND; Grafton, ND… |
| O20111020000173 | MN | Part B Supplier - Hospital Department(S) | 1355251604 |
Receives reassigned benefits from 213 practitioners 1 other NPI on this enrollment Practice locations: Roseville, MN |
National Provider Directory
Locations
1003 N Main St
Crookston, MN 56716
205 Roosevelt Ave W
Karlstad, MN 56732
Phone (218) 436-2251
1001 7th St NE
Fl 1
Devils Lake, ND 58301
211 4th St NE
Ste 1
Devils Lake, ND 58301
Phone (701) 662-2040
2200 S Washington St
Grand Forks, ND 58201
Phone (701) 330-5269
3165 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-3458
1375 S Columbia Rd
Ste F
Grand Forks, ND 58201
4401 S 11th St
Unit 1000
Grand Forks, ND 58201
4440 S Washington St
Fl 1
Grand Forks, ND 58201
4500 S Washington St
#B
Grand Forks, ND 58201
Phone (701) 732-7400
1201 S Columbia Rd
Grand Forks, ND 58201
1308 S Columbia Rd
Grand Forks, ND 58201
860 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5340
1202 S Columbia Rd
Grand Forks, ND 58201
901 2nd St
Langdon, ND 58249
Phone (701) 256-6100
607 Towner Ave
Larimore, ND 58251
Phone (701) 318-9399
600 1st St SE
Mayville, ND 58257
Phone (701) 786-4500
500 Delano Ave
Walhalla, ND 58282
Phone (701) 549-3310
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Anesthesiology Physician |
207L00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Hematology & Oncology Physician |
207RH0003X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Surgery Physician |
208600000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1300 S Columbia Rd
Grand Forks, ND 58201-4012
Mailing address
PO Box 860939
Minneapolis, MN 55486-0939
Phone (701) 780-5000
Other practice location 1
3165 DeMers Ave
Grand Forks, ND 58201-4049
Phone (701) 780-6000
Other practice location 2
500 1st Ave S Ste 2
Grand Forks, ND 58201-4565
Phone (701) 780-5000
Other practice location 3
4 N Park St
Northwood, ND 58267-4102
Phone (701) 587-6060
Other practice location 4
164 W 13th St
Grafton, ND 58237-1826
Phone (701) 780-6000
Other practice location 5
1003 N Main St
Drayton, ND 58225-4624
Phone (701) 454-3311
Other practice location 6
1001 7th St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157
Other practice location 7
301 Mountain St E Ste A
Cavalier, ND 58220-4015
Phone (701) 265-8338
Other practice location 8
4401 S 11th St Ste 1000
Grand Forks, ND 58201-7238
Phone (701) 732-7620
Other practice location 9
960 S Columbia Rd
Grand Forks, ND 58201-4030
Phone (701) 780-5400
Other practice location 10
4350 S Washington St Ste 114
Grand Forks, ND 58201-7185
Phone (701) 780-5000
Other practice location 11
725 Hamline St
Grand Forks, ND 58203-2819
Phone (701) 780-6800
Other practice location 12
300 W Good Samaritan Dr
Warren, MN 56762-1412
Phone (701) 780-5000
Other practice location 13
715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500
Other practice location 14
1201 11th Ave SW
Minot, ND 58701-4207
Phone (701) 858-6700 ext. 6750
Other practice location 15
1010 S Birch Ave
Hallock, MN 56728-4215
Phone (701) 780-5000
Other practice location 16
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
Other practice location 17
4440 S Washington St
Grand Forks, ND 58201-7245
Phone (701) 732-7000
Other practice location 18
860 S Columbia Rd
Grand Forks, ND 58201-4028
Phone (701) 780-6697
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD3144 | Other | MEDICARE RAILROAD |
Other names
- Altru 1300 Columbia
- Altru Clinic
Other providers in Grand Forks, ND
- Kayli Jo Altepeter
- Altru Clinic Pharmacy - Family Medicine Center Inc
- Altru Family Medicine Center
- Altru Health System
- Altru Health System
- Altru Health System
- Altru Health System
- Altru Health System
- Altru Health System
- Altru Health System
All providers in Grand Forks, ND · Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.