# SPIRIT LAKE TRIBE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPIRIT LAKE TRIBE
- **Other names:** Spirit Lake Health Center NP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215480363
- **Legal business name:** SPIRIT LAKE TRIBE
- **Authorized official:** MICHELLE BELT (CEO)
- **Authorized official phone:** (701) 766-1600

## Contact information

- **Practice address:** 3883 74TH AVE NE, FORT TOTTEN, ND 58335
- **Practice address phone:** (701) 766-1600
- **Practice address fax:** (701) 766-1630
- **Mailing address:** PO BOX 309, FORT TOTTEN, ND 58335-0309
- **Mailing address phone:** (701) 766-1600
- **Mailing address fax:** (701) 766-1630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | ND | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 08/24/2016