| Spirit Lake Health Center Md | |
|
3883 74th Ave Ne Fort Totten ND 58335 | |
| (701) 766-1600 | |
| (701) 766-1630 |
| Full Name | Spirit Lake Health Center Md |
|---|---|
| Speciality | Family Medicine |
| Location | 3883 74th Ave Ne, Fort Totten, North Dakota |
| Authorized Official Name and Position | Michelle Belt (CEO) |
| Authorized Official Contact | 7017661600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Lake Health Center Md Po Box 309 Fort Totten ND 58335-0309 Ph: (701) 766-1600 | Spirit Lake Health Center Md 3883 74th Ave Ne Fort Totten ND 58335 Ph: (701) 766-1600 |
| NPI Number | 1053864108 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053864108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Public Health Nursing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 3rd Ave N, Fort Totten, ND 58335 Phone: 701-766-4236 Fax: 701-766-4878 | |
Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3883 74th Ave. Ne, Fort Totten, ND 58335 Phone: 701-766-7600 Fax: 701-766-1630 |