Organization
ALTRU HEALTH SYSTEM
Active
Organization
ALTRU HEALTH SYSTEM
Active
Other names
Altru 1300 Columbia, Altru Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK GOEBEL (CHIEF FINANCIAL OFFICER)
(701) 780-1470
Entity
Organization
Contact information
Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-5000
Mailing address
PO BOX 860939, MINNEAPOLIS, MN 55486-0939
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD3144
MEDICARE RAILROAD
—
Enumeration date
10/12/2006
Last updated
02/02/2026
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