NPIMap

Organization Active NPI

Altru Health System

Doing business as Altru Care Flight

  • Ambulance
  • Grand Forks, ND
National Provider Identifier
1114485315
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ALTRU HEALTH SYSTEM
Practice address
1200 S Columbia Rd
Grand Forks, ND 58201-4044
Phone
(701) 780-5000
NPI assigned
Mar 6, 2019
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Courtney McNamee
Title
Director of Payer Revenue Managemen
Phone
(701) 780-5821

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Air Ambulance 3416A0800X
Land Ambulance 3416L0300X

Addresses

Primary practice location

1200 S Columbia Rd
Grand Forks, ND 58201-4044

Mailing address

PO Box 13780
Grand Forks, ND 58208-3780
Phone (701) 780-3696

Other names 1

  • Altru Care Flight Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240815000860 ND Part B Supplier - Ambulance Service Supplier 1355251604 Practice locations: Grand Forks, ND

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Physicians Associates M24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • SHC 2021 LLC

    dba Sidney Health Center Care Flight

    • Air Ambulance
    • Sidney, MT
    • NPI 1912573965

    Member Of

    NPD member

Locations

105 5th St SW
Baudette, MN 56623
Phone (218) 634-1655

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

312 8th St SW
Red Lake Falls, MN 56750
Phone (218) 253-4343

312 International Dr
Red Lake Falls, MN 56750
Phone (218) 253-4343

1845 US Highway 59 SE
Ste 800
Thief River Falls, MN 56701
Phone (218) 681-7280

1401 Lake St NW
Warroad, MN 56763
Phone (218) 386-1235

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

201 E 3rd Ave S
Cavalier, ND 58220
Phone (701) 265-8338

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

4350 S Washington St
Ste 112
Grand Forks, ND 58201
Phone (701) 293-9829

4350 S Washington St
Ste 114
Grand Forks, ND 58201
Phone (701) 780-6204

4401 S 11th St
Ste 1000
Grand Forks, ND 58201
Phone (701) 732-7620

4500 S Washington St
Grand Forks, ND 58201
Phone (701) 732-7500

728 E Beaton Dr
Ste 101
West Fargo, ND 58078
Phone (800) 437-4628

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Altru Rehabilitation HospitalGrand Forks, ND, CCN 353027 Hospital 5% Or Greater Direct Ownership Interest (40%) May 24, 2021
Valley Senior Living on ColumbiaGrand Forks, ND, CCN 355067 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 1994
May 21, 2025
Woodside VillageGrand Forks, ND, CCN 355112 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 1994
May 21, 2025
Altru's Home HealthGrand Forks, ND, CCN 357014 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1997

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 946

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 946

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1114485315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13780",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582083780",
            "telephone_number": "701-780-3696",
            "fax_number": "701-780-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014044",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTRU HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "MCNAMEE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER REVENUE MANAGEMEN",
        "authorized_official_telephone_number": "701-780-5821"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altru Care Flight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altru Care Flight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altru Care Flight",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.