ALTRU HEALTH SYSTEM (NPI# 1053850743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053850743 |
| Entity Type | Organization |
| Organization Name | ALTRU HEALTH SYSTEM |
| Other Organization Name | SANNY & JERRY RYAN CENTER FOR PREVENTION AND GENETICS |
| Practice Address |
4401 S 11th St Grand Forks ND 58201-7238 |
| Practice Telephone | 7017327620 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | HEATHER STRANDELL (ADMINISTRATOR) |
| Authorized Official Telephone | 7017805344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1460648 | 05 |
| Other Name | Type Code |
|---|---|
| Sanny & Jerry Ryan Center for Prevention and Genetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421316 | Altru Health System | Assisted Living Facility | 605 5th Ave Nw, East Grand Forks, MN 56721 | 2020-06-11 |
| 1174148506 | Altru Health System | Assisted Living Facility | 523 Arnold Ave S, Thief River Falls, MN 56701-3500 | 2020-06-11 |
| 1104441641 | Altru Health System | Clinic/Center | 233 Towner Ave, Larimore, ND 58251 | 2020-06-10 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1053936583 | Altru Health System | Assisted Living Facility | 1006 Greenwood St E, Thief River Falls, MN 56701-4120 | 2020-06-10 |
| 1083239776 | Altru Health System | Assisted Living Facility | 4004 24th Ave S, Grand Forks, ND 58201-8863 | 2020-06-09 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1285074328 | Altru Health System | Clinic/Center | 1845 Highway 59 S Ste 800, Thief River Falls, MN 56701-4318 | 2013-07-03 |
| 1871682344 | Altru Health System | Clinic/Center | 312 International Dr, Red Lake Falls, MN 56750-4603 | 2006-10-12 |
| 1437248945 | Altru Health System | Rehabilitation Unit | 4500 S Washington St, Grand Forks, ND 58201-7217 | 2006-10-12 |
| Street Address |
4401 S 11TH ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844199 | Ashlee Dagoberg | Physical Therapist | 4401 S 11th St, Grand Forks, ND 58201 | 2008-09-23 |
| 1275954539 | Jessica Wald | Massage Therapist | 4401 S 11th St, Grand Forks, ND 58201-7238 | 2014-01-03 |
| 1649607763 | Will W Bayne | Massage Therapist | 4401 S 11th St, Grand Forks, ND 58201-7238 | 2013-10-03 |
| 1124366810 | Erin Snyder | Specialist | 4401 S 11th St, Grand Forks, ND 58201-7238 | 2013-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720588171 | Ideal Option, Pllc | Clinic/Center | 3301 30th Ave S Ste 102, Grand Forks, ND 58201-6009 | 2018-02-12 |
| 1356715841 | Great Northern Dental Care | Clinic/Center | 667 Demers Ave Ste 1002, Grand Forks, ND 58201-4500 | 2015-11-20 |
| 1508115361 | Welcore Health,llc | Clinic/Center | 1720 Willow Dr, Grand Forks, ND 58201-8107 | 2012-09-07 |
| 1407909120 | Brian V Jongeward | Clinic/Center | 2812 17th Ave S Ste C, Grand Forks, ND 58201-4048 | 2007-01-18 |
| 1215990791 | Northland Family Physicians LLC | Clinic/Center | 2650 32nd Ave S Ste D, Grand Forks, ND 58201-6541 | 2006-04-07 |
| 1598206278 | Altru Health System | Clinic/Center | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2017-03-15 |
| 1316488091 | Altru Health System | Clinic/Center | 4500 S Washington St, Grand Forks, ND 58201-7217 | 2017-03-15 |
| 1417498197 | Altru Health System | Clinic/Center | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2017-03-15 |
| 1962941658 | Altru Health System | Clinic/Center | 3165 Demers Ave, Grand Forks, ND 58201-4049 | 2017-02-15 |
| 1699214387 | Altru Health System | Clinic/Center | 4440 S Washington St, Grand Forks, ND 58201-7245 | 2017-02-15 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on ALTRU HEALTH SYSTEM.
| 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.