NPIMap

Organization Active NPI

Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
National Provider Identifier
1154346161
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
5021A Issued in ND
Legal business name
ALTRU HEALTH SYSTEM
Practice address
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone
(701) 780-5000
NPI assigned
Jul 12, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 5021A ND Primary

Addresses

Primary practice location

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Mailing address

PO Box 860939
Minneapolis, MN 55486-0939

Other practice location 1

4500 S Washington St
Grand Forks, ND 58201-7217
Phone (701) 732-7200

Other practice location 2

607 DeMers Ave
East Grand Forks, MN 56721-1833
Phone (218) 773-0357

Other practice location 3

960 S Columbia Rd
Grand Forks, ND 58201-4030
Phone (701) 780-5400

Other practice location 4

860 S Columbia Rd
Grand Forks, ND 58201-4028
Phone (701) 780-6697

Other practice location 5

4350 S Washington St Ste 104
Grand Forks, ND 58201-7184
Phone (701) 780-5000

Other practice location 6

1375 S Columbia Rd Unit A
Grand Forks, ND 58201
Phone (701) 780-2300

Other practice location 7

400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
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
This NPI is an additional NPI on the enrollment
Practice locations: Grand Forks, ND; Minot, ND; Northwood, ND; West Fargo, ND; Cavalier, ND; Devils Lake, ND; Drayton, ND; Grafton, ND…
O20051111000096 ND Part A Provider - Hospital 1355251604 Practice locations: Crookston, MN; Grand Forks, ND; East Grand Forks, MN
O20111020000173 MN Part B Supplier - Hospital Department(S) 1355251604 Receives reassigned benefits from 213 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roseville, MN
O20120210000577 MN Part A Provider - End-Stage Renal Disease Facility (ESRD) 1355251604 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roseau, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154346161. Details of each certification follow.

Hospital certification: CCN 350019

Legal name
ALTRU HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1971
Last certification
Feb 15, 2007
Beds
267
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
Jul 1, 1997 in ND
Enrollment address
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Altru HospitalCCN 350019 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

3165 Demers Ave
Grand Forks, ND 58201
Phone (701) 732-7570

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tammy Peterson Individual Corporate Director Jan 1, 2023
Rebecca K Novacek Individual Corporate Director Sep 23, 2024
Eric Halverson Individual Corporate Director Dec 21, 2020
Russel Crary Individual Corporate Director Jan 1, 2023
Karen McLennan Individual Corporate Director Nov 23, 2020
Scott Meyer Individual Corporate Director Dec 18, 2023
Tod Forkel Individual Corporate OfficerChief Executive Officer Feb 28, 2022
Corporate Director Feb 28, 2022
Derek Goebel Individual Corporate OfficerChief Financial Officer Jan 15, 2023
W-2 Managing Employee Jan 15, 2023
Andrew Sorbo Individual Corporate Director Jan 1, 2023
Erin Navarro Individual Corporate Director Jul 1, 2018
Courtney K McNamee Individual W-2 Managing Employee Mar 11, 2024
Jody B Treuer Individual Corporate Director Sep 30, 2019
Joshua Deere Individual Corporate Director Sep 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 487

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 487

Affiliated clinicians 628

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 628

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1154346161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860939",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860939"
        },
        {
            "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": "582014036",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582017217",
            "country_code": "US",
            "telephone_number": "701-732-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 DeMers Ave",
            "address_purpose": "LOCATION",
            "city": "East Grand Forks",
            "state": "MN",
            "postal_code": "567211833",
            "country_code": "US",
            "telephone_number": "218-773-0357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014030",
            "country_code": "US",
            "telephone_number": "701-780-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014028",
            "country_code": "US",
            "telephone_number": "701-780-6697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 S Washington St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582017184",
            "country_code": "US",
            "telephone_number": "701-780-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 S Columbia Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "58201",
            "country_code": "US",
            "telephone_number": "701-780-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Minnesota St",
            "address_purpose": "LOCATION",
            "city": "Crookston",
            "state": "MN",
            "postal_code": "567161808",
            "country_code": "US",
            "telephone_number": "218-281-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTRU HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ND",
            "license": "5021A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.