# ALTRU HEALTH SYSTEM AMBULATORY SURGERY CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Altru Surgery Center Crookston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942760285
- **Authorized official:** TERESA N MOE (MANAGER OF PAYER REIMBURSEMENT)
- **Authorized official phone:** (701) 780-5221

## Contact information

- **Practice address:** 400 S MINNESOTA ST STE B, CROOKSTON, MN 56716-1808
- **Practice address phone:** (701) 780-5000
- **Mailing address:** PO BOX 6002, GRAND FORKS, ND 58206-6002
- **Mailing address phone:** (701) 780-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 03/22/2019