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SPIRIT LAKE TRIBE NPI 1841619798


NPI Information

NPI: 1841619798
Provider Name: SPIRIT LAKE TRIBE

Doing Business As: SPIRIT LAKE HEALTH CENTER

Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 35D2045975

Address:
816 3RD AVE N
FORT TOTTEN, ND
ZIP 58335
Phone: (701) 766-4236
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SPIRIT LAKE TRIBE is a case management in Fort Totten, ND. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. SPIRIT LAKE TRIBE NPI is 1841619798. The provider is registered as an organization entity type.
The provider Is Doing Business As Spirit Lake Health Center.

The provider's business location address is:

816 3RD AVE N
FORT TOTTEN, ND
ZIP 58335-998
Phone: (701) 766-4236
Fax: (701) 766-4878

The provider's authorized official is Donald Parisien .
The authorized official title is Tribal Health Director and has the following contact phone number (701) 230-5696.

The CLIA number assigned to this NPI record is 35D2045975 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2014 and was last updated on 4/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementYes
2261QH0100XClinic/CenterHealth ServiceNORTH DAKOTANo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)NORTH DAKOTANo
4261QP0905XClinic/CenterPublic Health, State or LocalNORTH DAKOTANo
5261QP1100XClinic/CenterPodiatricNORTH DAKOTANo
6261QP2300XClinic/CenterPrimary CareNORTH DAKOTANo
7261QR0206XClinic/CenterRadiology, MammographyNORTH DAKOTANo
8291U00000XClinical Medical LaboratoryNORTH DAKOTANo
93416L0300XAmbulanceLand TransportNORTH DAKOTANo
10343900000XNon-emergency Medical Transport (VAN)No
11332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyNORTH DAKOTANo
12171M00000XCase Manager/Care CoordinatorNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11466035MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.