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Organization

SPECTRA HEALTH

Active
Other names
Valley Community Health Centers
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY SCHMIDT (CFO)
(701) 757-2100
Entity
Organization

Contact information

Practice address
212 S 4TH ST STE 301, GRAND FORKS, ND 58201-4776
(701) 757-2100
Mailing address
212 S 4TH ST, GRAND FORKS, ND 58201-4777
(701) 757-2100

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1461598
ND
Enumeration date
10/21/2021
Last updated
10/21/2021
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