Altru Health System

Organization Active NPI General Acute Care Hospital · Grand Forks, ND

NPI 1154346161 · NPPES record last updated Nov 18, 2025

Key facts

NPI
1154346161
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
5021A (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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 4

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

Other NPIs on the same Medicare enrollment 9

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

Other NPIs with the same Medicare PAC ID 13

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

Member of 1

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

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

Practitioners 839

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 839

Affiliated clinicians 628

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

View all 628

Medicare Care Compare: Hospital

Listed as
Altru Hospital CCN 350019
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in MN, ND

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
Other · Non-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

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 Officer
Chief Executive Officer
Feb 28, 2022
Corporate Director Feb 28, 2022
Derek Goebel
Individual
Corporate Officer
Chief 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

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 Hospital
Grand Forks, ND · CCN 353027
Hospital 5% Or Greater Direct Ownership Interest (40%) May 24, 2021
Valley Senior Living on Columbia
Grand Forks, ND · CCN 355067
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 1994
May 21, 2025
Woodside Village
Grand Forks, ND · CCN 355112
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 1994
May 21, 2025
Altru'S Home Health
Grand Forks, ND · CCN 357014
Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1997

Medicare enrollment records

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

National Provider Directory

Locations

23076 347th St SE
Erskine, MN 56535
Phone (218) 435-1133

301 Mountain St E
Ste A
Cavalier, ND 58220
Phone (701) 265-4196

4350 S Washington St
Ste 104
Grand Forks, ND 58201
Phone (701) 780-2500

Specialties & licenses

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

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

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · General Acute Care Hospital in North Dakota

Sources for this page

Verify at the official NPI Registry.