SPIRIT LAKE TRIBE (NPI# 1053515783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053515783 |
| Entity Type | Organization |
| Organization Name | SPIRIT LAKE TRIBE |
| Other Organization Name | SPIRIT LAKE EMS |
| Practice Address |
1403 Brunswick Ave Fort Totten ND 58335-0449 |
| Mailing Address |
Po Box 449 Po Box 449 Fort Totten ND 58335-0449 |
| Practice Telephone | 7017661714 |
| Practice Fax Number | 7017664878 |
| Mailing Telephone | 7017661714 |
| Mailing Fax Number | 7017664878 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-02-08 |
| Authorized Official Name | MRS. KATE I JOHNSON (EMS DIRECTOR) |
| Authorized Official Telephone | 7017661714 |
| Authorized Official Credential | PARAMEDIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 0142 | ND | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | NPI | 1740387059 | 01 |
| Other Name | Type Code |
|---|---|
| Spirit Lake EMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720152457 | Spirit Lake Tribe | Case Management | 416 2nd Avenue North, Fort Totten, ND 58335 | 2006-11-17 |
| 1740387059 | Spirit Lake Tribe | Ambulance | 7686 Ephriam Hill Road, Fort Totten, ND 58335 | 2006-09-20 |
| 1821622010 | Spirit Lake Tribe | Non-emergency Medical Transport (VAN) | 3883 74th Ave Ne, Fort Totten, ND 58335-0309 | 2020-02-26 |
| 1225576341 | Spirit Lake Tribe | Internal Medicine | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2017-02-09 |
| 1417408907 | Spirit Lake Tribe | Optometrist | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1144771650 | Spirit Lake Tribe | Social Worker | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1609327196 | Spirit Lake Tribe | Psychiatry & Neurology | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1508317090 | Spirit Lake Tribe | Dentist | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1912458407 | Spirit Lake Tribe | Radiology | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| 1063963551 | Spirit Lake Tribe | Physician Assistant | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPIRIT LAKE TRIBE | 816 3 Ave N, Fort Totten, ND 58335-9998 |
| Street Address |
1403 BRUNSWICK AVE |
| City | FORT TOTTEN |
| State | ND |
| Zip Code | 58335-0449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941116 | Sherry Yvonne Longie | Technician | 213 Dakotah Dr. #53, Fort Totten, ND 58335 | 2020-10-29 |
| 1235650250 | Tiffaney Anne Two Eagle | Registered Nurse | 3883 74th Avenue Northeast, Fort Totten, ND 58335 | 2017-06-29 |
| 1093015265 | Spirit Lake Head Start | Clinic/Center | 816 3rd Ave North, Fort Totten, ND 58335 | 2010-10-22 |
| 1154532000 | Nancy C Dauphinais | Technician, Pathology | 3883 74th Avenue North East, Fort Totten, ND 58335 | 2007-05-24 |
| 1467575159 | Jeanette Lucille Rosenheim | Registered Nurse | Spirit Lake Health Center, 3883 74th Ave Ne Box 309, Fort Totten, ND 58335 | 2007-04-09 |
| 1184744518 | Tammy Delaine Lawrence | Registered Nurse | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2007-03-30 |
| 1821127036 | Evangeline S. Gaid | Family Medicine | 3883 74th Ave.ne, Ft. Totten, ND 58335 | 2007-03-05 |
| 1538296199 | Cheri J Schaffer | Registered Nurse | 3883 74th Ave North East, Fort Totten, ND 58335 | 2007-02-28 |
| 1720152457 | Spirit Lake Tribe | Case Management | 416 2nd Avenue North, Fort Totten, ND 58335 | 2006-11-17 |
| 1689762171 | Cynthia Anne Gunderson | Pharmacist | 3883 74th Ave Ne, Ft Totten, ND 58335 | 2006-10-10 |
| Find all providers in zip 58335 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139582 | Westhope Ambulance Services | Ambulance | 110 Railway Ave W, Westhope, ND 58793 | 2018-06-29 |
| 1770824492 | Community Ambulance Service of New Rockford | Ambulance | 818 1st Ave N, New Rockford, ND 58356-1511 | 2013-03-05 |
| 1538369780 | Hankinson Ambulance District | Ambulance | 102 Main Ave N, Hankinson Fire & Ambulance Meeting Room, Hankinson, ND 58041 | 2007-07-24 |
| 1295896934 | Lidgerwood Rural Ambulance Service | Ambulance | 146 Wiley Ave S, Lidgerwood, ND 58053 | 2006-12-13 |
| 1669533394 | Valley Ambulance Service Inc | Ambulance | 1317 Griggs Avenue, Grafton, ND 58237 | 2006-12-13 |
| 1245390129 | Regent Ambulance Service | Ambulance | 308 West 2nd Street, Regent, ND 57650 | 2006-12-11 |
| 1891854212 | Kindred Area Ambulance Service Inc. | Ambulance | 100 1st Ave N, Kindred, ND 58051-0295 | 2006-12-08 |
| 1881766525 | Glen Ullin Ambulance Service | Ambulance | 206 2nd St South, Glen Ullin, ND 58631 | 2006-11-15 |
| 1790856706 | New Salem Ambulance Service | Ambulance | 400 Main Ave, New Salem, ND 58563 | 2006-11-13 |
| 1164592184 | Kidder County Ambulance Service Inc | Ambulance | 120 N Mitchell, Steele, ND 58482 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT TOTTEN |
| Zip Code | 58335 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.