Active NPI
Altru Health System
Doing business as Altru Clinic - Drayton
- Rural Health Clinic/Center
- Drayton, ND
National Provider Identifier
1760117295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- ALTRU HEALTH SYSTEM
- Doing business as
- Altru Clinic - Drayton
- Practice address
- 1003 N Main St
Drayton, ND 58225-4624 - Phone
- (701) 454-3311
- NPI assigned
- Jul 19, 2022
- Last updated
- May 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Goebel
- Title
- Chief Financial Officer
- Phone
- (701) 780-1470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
1003 N Main St
Drayton, ND 58225-4624
Mailing address
1003 N Main St
Drayton, ND 58225-4624
Other names 1
- Altru Clinic - Drayton
National Provider Directory
National Provider DirectoryLocations
1003 N Main St
Drayton, ND 58225
Phone (701) 454-3311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1760117295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 N MAIN ST",
"city": "DRAYTON",
"state": "ND",
"postal_code": "582254624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 N MAIN ST",
"city": "DRAYTON",
"state": "ND",
"postal_code": "582254624",
"telephone_number": "701-454-3311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTRU HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-19",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "GOEBEL",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "701-780-1470"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Altru Clinic - Drayton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Altru Clinic - Drayton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Drayton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.