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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