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Contact Information

SPIRIT LAKE TRIBE
3883 74TH AVE NE
FORT TOTTEN, ND58335
 Phone: 701-766-1600
 Fax: 701-766-1630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SPIRIT LAKE TRIBE

NPI # 1053864108
LBN Legal business name SPIRIT LAKE TRIBE
Authorized official MICHELLE BELT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/25/2016
Last updated 08/24/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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