Organization
SPIRIT LAKE TRIBE
Active
Organization
SPIRIT LAKE TRIBE
Active
Other names
SPIRIT LAKE HEALTH CENTER, PUBLIC HEALTH NURSING
Organization subpart
No
Provider details
NPI number
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) 766-4236
(701) 766-4878
Mailing address
PO BOX 480, FORT TOTTEN, ND 58335-0480
(701) 766-4236
(701) 766-4878
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479334
—
ND
Enumeration date
05/30/2019
Last updated
09/03/2026
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