Organization
SPIRIT LAKE HEALTH CENTER
Active
Other names
Indian Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN C MARTELL (ACTING CEO)
(701) 766-1600
Entity
Organization
Contact information
Practice address
3883 74TH AVE. NE, FORT TOTTEN, ND 58335-0309
(701) 766-7600
(701) 766-1630
Mailing address
PO BOX 309, 3883 74TH AVE. NE, FORT TOTTEN, ND 58335-0309
(701) 766-7600
(701) 766-1630
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
02/23/2009
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