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Altru Health System

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Crookston, MN

NPI 1629347489 · NPPES record last updated Nov 18, 2025

Key facts

NPI
1629347489
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
ALTRU HEALTH SYSTEM
Practice address
400 S Minnesota St
Crookston, MN 56716-1808
Phone
(701) 780-5877
Fax
(701) 780-5852
NPI assigned
Dec 23, 2011
Organization subpart
No

Authorized official

Name
Derek Goebel
Title
Chief Financial Officer
Phone
(701) 780-1470

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 with the same Medicare PAC ID 13

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

Corporate family (same tax ID) 23

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

Practitioners 675

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

View all 675

Affiliated clinicians 2

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

Medicare Care Compare: Dialysis facility

Listed as
Altru Health System Renal Dialysis Crookston CCN 243541
Ownership
Non-profit
Certified
Jun 12, 2013
Medicare certification status
Active (Provider of Services file)
Dialysis stations
8

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

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
O20130404000326 MN Part a Provider - End-Stage Renal Disease Facility (ESRD) 1355251604 Practice locations: Crookston, MN

National Provider Directory

Tax ID family
Altru Lakewood Physicia (24 organizations share this tax ID)

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

400 S Minnesota St
Crookston, MN 56716-1808

Mailing address

PO Box 860939
Minneapolis, MN 55486-0939
Phone (701) 780-5000

Other names

  • Altru Health System Renal Dialysis Crookston Doing business as

Other providers in Crookston, MN

All providers in Crookston, MN · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.