NPIMap

Organization Active NPI

Spirit Lake Tribe

Doing business as Public Health Nursing

  • State or Local Public Health Clinic/Center
  • Fort Totten, ND
National Provider Identifier
1710545231
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
SPIRIT LAKE TRIBE
Doing business as
Public Health Nursing
Spirit Lake Health Center
Practice address
816 3Rd Ave N
Fort Totten, ND 58335-9998
Phone
(701) 766-4236
Fax
(701) 766-4878
NPI assigned
May 30, 2019
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Linda Sue Peltier
Title
3Rd Party Billing Manager
Phone
(701) 766-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

816 3Rd Ave N
Fort Totten, ND 58335-9998

Mailing address

PO Box 480
Fort Totten, ND 58335-0480
Phone (701) 766-4236

Other identifiers 1

IdentifierTypeStateIssuer
1479334MedicaidND

Other names 2

  • PUBLIC HEALTH NURSING Doing business as
  • SPIRIT LAKE HEALTH CENTER Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ftc@ftc.directihs.net
Direct Messaging Address ftc@ftc.directihs.net

National Provider Directory

National Provider Directory
Tax ID family
Spirit Lake Senior Services22 organizations share this tax ID, including this one
Part of
Spirit Lake Senior Services

Other organizations with this tax ID 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1710545231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350480",
            "telephone_number": "701-766-4236",
            "fax_number": "701-766-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 3RD AVE N",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583359998",
            "telephone_number": "701-766-4236",
            "fax_number": "701-766-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT LAKE TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "PELTIER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "3RD PARTY BILLING MANAGER",
        "authorized_official_telephone_number": "701-766-1667"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479334",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftc@ftc.directihs.net",
            "affiliation": "N",
            "address_1": "816 3rd Ave N",
            "city": "Fort Totten",
            "state": "ND",
            "country_code": "US",
            "postal_code": "583359998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftc@ftc.directihs.net",
            "affiliation": "N",
            "address_1": "816 3rd Ave N",
            "city": "Fort Totten",
            "state": "ND",
            "country_code": "US",
            "postal_code": "583359998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PUBLIC HEALTH NURSING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPIRIT LAKE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Totten, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.