SPECTRA HEALTH (NPI# 1255317905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255317905 |
| Entity Type | Organization |
| Organization Name | SPECTRA HEALTH |
| Practice Address |
607 Towner Ave Larimore ND 58251 |
| Mailing Address |
212 S 4th St Ste 200 Grand Forks ND 58201-4781 |
| Practice Telephone | 7013436418 |
| Practice Fax Number | 7013432937 |
| Mailing Telephone | 7017572100 |
| Mailing Fax Number | 7017570305 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | BEN SHANNON (OPERATIONS MANAGER) |
| Authorized Official Telephone | 7017572812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 05908 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689878324 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 101, Grand Forks, ND 58201-4777 | 2007-06-14 |
| 1114343423 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 301, Grand Forks, ND 58201-4777 | 2014-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SPECTRA HEALTHCARE ALLIANCE III LLC | 7160 N Dallas Parkway Suite 400, Plano, TX 75024 |
| Virginia Business Entities | SPECTRA HEALTHCARE ALLIANCE INC. | 6400 Pinecrest Dr Ste 200, Plano, Texas 75024-2962 |
| Indiana Business Entities | SPECTRA HEALTHCARE ALLIANCE V LLC | 7160 N Dallas Parkway, Suite 400, Plano, TX 75024 |
| Indiana Business Entities | SPECTRA HEALTHCARE ALLIANCE, INC. | 1000 Fianna Way, Attn: Legal Dept - Md 4824, Fort Smith, AR 72919-9008 |
| Ohio Business Entities | SPECTRA HEALTHCARE ALLIANCE, INC. | 5111 Rogers Ave, #40-a, Fort Smith, AR 72919-0155 |
| Street Address |
607 TOWNER AVE |
| City | LARIMORE |
| State | ND |
| Zip Code | 58251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441641 | Altru Health System | Clinic/Center | 233 Towner Ave, Larimore, ND 58251 | 2020-06-10 |
| 1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
| 1063603934 | Tara Marie Coble | Occupational Therapist | 501 E. Front Street, Larimore, ND 58251 | 2007-08-06 |
| 1477659860 | Larimore Ambulance Service Inc | Ambulance | 420 Towner Ave, Larimore, ND 58251-0365 | 2006-09-15 |
| 1376888354 | Larimore Chiropractic Clinic Pllc | Chiropractor | 320 Booth Ave, Larimore, ND 58251-0729 | 2012-12-03 |
| 1073659678 | Rex Jameson Byrd | Chiropractor | 320 Booth Ave., Larimore, ND 58251-0729 | 2007-01-30 |
| 1477690501 | Nancy Mcintyre Byrd | Chiropractor | 320 Booth Ave., Larimore, ND 58251-0729 | 2007-01-30 |
| 1780721829 | Larimore Chiropractic Clinic | Chiropractor | 320 Booth Ave., Larimore, ND 58251-0729 | 2007-01-30 |
| 1992786008 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 501 E Front St, Larimore, ND 58251-4010 | 2005-11-07 |
| 1760961452 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 501 E Front St, Larimore, ND 58251-4010 | 2018-08-13 |
| Find all providers in zip 58251 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
| 1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
| 1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
| 1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
| 1841658887 | Coal Country Community Health Center | Clinic/Center | 510 8th Ave Nw, Hazen, ND 58545-4638 | 2016-02-05 |
| 1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
| 1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
| 1174866271 | Northland Health Partners Community Health Center | Clinic/Center | 18 Main St Sw Ste B, Bowbells, ND 58721 | 2013-03-27 |
| 1689878324 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 101, Grand Forks, ND 58201-4777 | 2007-06-14 |
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
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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.