Organization
ALTRU HEALTH SYSTEM
Active
Other names
Altru Health System - Renal Dialysis - Grand Forks
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK GOEBEL (CFO)
(701) 780-1470
Entity
Organization
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
PO BOX 13780, GRAND FORKS, ND 58208-3780
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
5021A
ND
Other
Enumeration date
10/12/2006
Last updated
12/14/2023
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