Organization
SPIRIT LAKE OKICIYAPI
Active
Parent organization
SPIRIT LAKE TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPIRIT LAKE TRIBE
Authorized official
LINDA SUE PELTIER (3RD PARTY BILLING MANAGER)
(701) 766-1667
Entity
Organization
Contact information
Practice address
816 3RD AVE N, FORT TOTTEN, ND 58335-9998
(701) 766-4862
(701) 766-4878
Mailing address
816 3RD AVE N, FORT TOTTEN, ND 58335-9998
(701) 766-4862
(701) 766-4878
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471893
—
ND
Enumeration date
06/12/2018
Last updated
10/29/2020
Update your record
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