Spirit Lake Health Center is a
Dietitian, Registered based in Fort Totten, North Dakota. Spirit Lake Health Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
3883 74th Ave Ne, Fort Totten, North Dakota. It can be reached at their office (for appointments etc.) via phone at
(701) 766-1600.
NPI number for Spirit Lake Health Center is 1760933253 and their current mailing address is Po Box 309, Fort Totten, North Dakota. Spirit Lake Health Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760933253.
Healthcare Provider's Profile
| Full Name | Spirit Lake Health Center |
|---|
| Type | Facility |
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| Speciality | Dietitian, Registered |
|---|
| Location | 3883 74th Ave Ne, Fort Totten, 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: 1760933253
- Provider Enumeration Date: 10/19/2016
- Last Update Date: 10/19/2016
Medical Identifiers
Medical identifiers for Spirit Lake Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760933253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (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. Spirit Lake Health Center 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 |
|---|
Spirit Lake Health Center
Po Box 309,
Fort Totten, ND 58335-0309
Ph: (701) 766-1600 | Spirit Lake Health Center
3883 74th Ave Ne,
Fort Totten, ND 58335
Ph: (701) 766-1600 |
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