Spectra Health is a
Clinic/center - Federally Qualified Health Center (fqhc) based in Larimore, North Dakota. Spectra Health is licensed to practice in * (Not Available) (license number ) and their current practice location is
607 Towner Ave, Larimore, North Dakota. It can be reached at their office (for appointments etc.) via phone at
(701) 343-6418.
NPI number for Spectra Health is 1104490622 and their current mailing address is 212 S 4th St Ste 200, Grand Forks, North Dakota. Spectra Health
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104490622.
Healthcare Provider's Profile
| Full Name | Spectra Health |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 607 Towner Ave, Larimore, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104490622
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 09/13/2021
Medical Identifiers
Medical identifiers for Spectra Health such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104490622 | NPI | - | NPPES |
| 1461963 | Medicaid | ND | |
| 1461598 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Spectra Health is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Spectra Health
212 S 4th St Ste 200,
Grand Forks, ND 58201-4781
Ph: (701) 757-2100 | Spectra Health
607 Towner Ave,
Larimore, ND 58251-4501
Ph: (701) 343-6418 |
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