Organization
SPIRIT LAKE TRIBE
Active
Parent organization
SPIRIT LAKE TRIBE
Other names
Spirit Lake Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPIRIT LAKE TRIBE
Authorized official
MICHELLE BELT (CEO)
(701) 766-1600
Entity
Organization
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1600
(701) 766-1630
Mailing address
PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1600
(701) 766-1630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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