Altru Health System Ambulatory Surgery Centers LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALTRU HEALTH SYSTEM AMBULATORY SURGERY CENTERS LLC

Doing business as

Altru Surgery Center Crookston

Practice address

400 S Minnesota St Ste B
Crookston, MN 56716-1808

Phone

(701) 780-5000

NPI assigned

Mar 22, 2019

Last updated

Mar 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa N Moe

Title

Manager of Payer Reimbursement

Phone

(701) 780-5221

Specialties & licenses 1

Addresses

Other names 1

• Altru Surgery Center Crookston Doing business as

Locations

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1942760285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6002",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582066002",
            "telephone_number": "701-780-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MINNESOTA ST STE B",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161808",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTRU HEALTH SYSTEM AMBULATORY SURGERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER OF PAYER REIMBURSEMENT",
        "authorized_official_telephone_number": "701-780-5221"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altru Surgery Center Crookston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Active Health Chiropractic PLLC (Active Health Family Chiropractic)
• Agassiz Optometry Associates PC (Crookston Eye Clinic)
• Alluma, Inc.
• Altru Health System (Altru Health System Renal Dialysis Crookston)
• Altru Health System (Altru Clinic Crookston)
• Altru Specialty Services, Inc. (Yorhom Medical Essentials)
• Altru Specialty Services, Inc. (Altru Specialty Services, Inc. (Crookston DME))
• Cheri Lynn Ames, LICSW
• Debra Kay Ames
• Brenda Melissia Anderson, LICSW

• Ambulatory Surgical Clinic/Center in Crookston, MN
• Providers in Crookston, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.