ALTRU HEALTH SYSTEM (NPI# 1629347489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629347489 |
| Entity Type | Organization |
| Organization Name | ALTRU HEALTH SYSTEM |
| Other Organization Name | ALTRU HEALTH SYSTEM RENAL DIALYSIS CROOKSTON |
| Practice Address |
400 S Minnesota St Crookston MN 56716-1808 |
| Mailing Address |
2401 Demers Avenue South Post Office Box 13780 Grand Forks ND 58201 |
| Practice Telephone | 7017805877 |
| Practice Fax Number | 7017805852 |
| Mailing Telephone | 7017805000 |
| Mailing Fax Number | 7017805852 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | DR. STEVEN WEISER (PRESIDENT) |
| Authorized Official Telephone | 7017805000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Altru Health System Renal Dialysis Crookston | 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 |
400 S MINNESOTA ST |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538105929 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-06-22 |
| 1669014643 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 400 S Minnesota St, Crookston, MN 56716-1808 | 2019-10-11 |
| 1578041653 | Breanna J. Privratsky | Physician Assistant | 400 S Minnesota St, Crookston, MN 56716-1808 | 2018-08-01 |
| 1558746081 | Emily Ann Andrews | Physician Assistant | 400 S Minnesota St, Crookston, MN 56716-1808 | 2015-07-27 |
| 1629327010 | Mary Lee Beck | Clinical Nurse Specialist | 400 S Minnesota St, Crookston, MN 56716-1808 | 2012-08-31 |
| 1184936072 | Roshan Ghimire | Family Medicine | 400 S Minnesota St, Crookston, MN 56716-1808 | 2010-07-08 |
| 1154509479 | Mindy S Staveteig | Physician Assistant | 400 S Minnesota St, Crookston, MN 56716-1808 | 2008-02-08 |
| 1841338514 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 400 S Minnesota St, Crookston, MN 56716-1808 | 2007-02-02 |
| 1376638627 | Donna A Anel | Internal Medicine | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-10-04 |
| 1437242476 | Theodore S Olson | Internal Medicine | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| Find all providers in zip 56716 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014643 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 400 S Minnesota St, Crookston, MN 56716-1808 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183832 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 | 2020-10-28 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1225541055 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 7433 Currell Blvd, Woodbury, MN 55125-2217 | 2017-11-15 |
| 1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
| 1225573777 | Atlantic Dialysis LLC | Clinic/Center | 1802 Commerce Dr, North Mankato, MN 56003-1800 | 2016-12-19 |
| 1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
| 1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
| 1003292392 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 17592 Dodd Blvd, Lakeville, MN 55044-3909 | 2015-08-10 |
| 1629461470 | Babler Dialysis, LLC | Clinic/Center | 2660 S Broadway, Ste A, Rochester, MN 55904-6263 | 2015-03-17 |
| 1588067391 | Meesa Dialysis LLC | Clinic/Center | 245 Isle St W, Isle, MN 56342-4908 | 2014-10-07 |
| 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.