NPIMap

Organization Active NPI

Spirit Lake Health Center

  • Federal Public Health Clinic/Center
  • Fort Totten, ND
National Provider Identifier
1972535433
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
SPIRIT LAKE HEALTH CENTER
Practice address
3883 74TH Ave. NE
Fort Totten, ND 58335-0309
Phone
(701) 766-7600
Fax
(701) 766-1630
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Mr. Darren C Martell
Title
Acting Ceo
Phone
(701) 766-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X Primary

Addresses

Primary practice location

3883 74TH Ave. NE
Fort Totten, ND 58335-0309

Mailing address

PO Box 309
3883 74TH Ave. NE
Fort Totten, ND 58335-0309
Phone (701) 766-7600

Other names 1

  • Indian Health Service Other name

National Provider Directory

National Provider Directory
Tax ID family
Spirit Lake Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1972535433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "address_2": "3883 74TH AVE. NE",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350309",
            "telephone_number": "701-766-7600",
            "fax_number": "701-766-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 74TH AVE. NE",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350309",
            "telephone_number": "701-766-7600",
            "fax_number": "701-766-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT LAKE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "701-766-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Health Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 23, 2009; 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.