Organization
SPIRIT LAKE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE M KRULISH (CEO)
(701) 766-1600
Entity
Organization
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335-0309
(701) 766-1600
Mailing address
3883 74TH AVE NE, PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1600
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01061
—
ND
Enumeration date
01/17/2007
Last updated
07/21/2022
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