| Spectra Health | |
|
212 S 4th St Suite 101 Grand Forks ND 58201-4777 | |
| (701) 757-2100 | |
| (701) 757-2103 |
| Full Name | Spectra Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 212 S 4th St, Grand Forks, North Dakota |
| Authorized Official Name and Position | Ben Shannon (OPERATIONS MANAGER) |
| Authorized Official Contact | 7017572812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectra Health 212 S 4th St Ste 200 Grand Forks ND 58201-4781 Ph: (701) 757-2100 | Spectra Health 212 S 4th St Suite 101 Grand Forks ND 58201-4777 Ph: (701) 757-2100 |
| NPI Number | 1689878324 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689878324 | NPI | - | NPPES |
| 1689878324 | Medicaid | MN | |
| 5910 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Spectra Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 S 4th St, Suite 301, Grand Forks, ND 58201 Phone: 701-757-2100 Fax: 701-757-0305 | |
The Aurora Cardiology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201 Phone: 701-775-5800 Fax: 701-775-5200 | |
Meridian Behavioral Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Grand Forks, ND 58201 Phone: 701-772-2500 Fax: 701-757-1512 | |
Northern Valley Obstetrics & Gynecology, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2810 17th Ave S, Grand Forks, ND 58201 Phone: 701-738-2004 | |
Aurora Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 32nd Ave S Ste D, Grand Forks, ND 58201 Phone: 701-732-2700 Fax: 701-732-2701 | |
Legacy Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd Ste 114, Grand Forks, ND 58201 Phone: 701-516-4637 Fax: 877-651-1381 | |
The Kidney And Hypertension Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 S Washington St, Grand Forks, ND 58201 Phone: 701-775-5800 Fax: 701-775-5200 |