SPIRIT LAKE TRIBE; NPI #1053515783

Contact Information

SPIRIT LAKE TRIBE

1403 BRUNSWICK AVE
FORT TOTTEN, ND 58335-0449

Phone: 701-766-1714
Fax: 701-766-4878
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SPIRIT LAKE TRIBE

NPI Number 1053515783

LBN Legal business name SPIRIT LAKE TRIBE

Authorized official KATE JOHNSON - (EMS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/14/2007

Last updated 02/08/2009 - About 17 years ago

Identifiers

ND	License #	0142
ND	Other	1740387059	NPI

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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