SPIRIT LAKE HEALTH CENTER
NPI 1134303795
Clinic/Center - Radiology, Mammography in Fort Totten, ND

NPI Status: Active since December 19, 2007

Contact Information

3883 74TH AVE NE
FORT TOTTEN, ND
ZIP 58335
Phone: (701) 766-1600

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  • Organization
  • Clinic/Center
  • Radiology, Mammography

About SPIRIT LAKE HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Spirit Lake Health Center, a provider established in Fort Totten, North Dakota operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1134303795 assigned on December 2007. The practitioner's primary taxonomy code is 261QR0206X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Colettte A Byrum Bsrt(r)(m) (Medical Instrument Technologist)

NPI
1134303795
Provider Name
SPIRIT LAKE HEALTH CENTER
Entity Type
Organization
Location Address
3883 74TH AVE NE FORT TOTTEN, ND 58335
Location Phone
(701) 766-1600
Mailing Address
PO BOX 309 FORT TOTTEN, ND 58335
Mailing Phone
(701) 766-1600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2007
Last Update Date
12-19-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology, Mammography

Taxonomy Code
261QR0206X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COLETTTE A BYRUM BSRT(R)(M)

Authorized Official Title
MEDICAL INSTRUMENT TECHNOLOGIST
Authorized Official Phone
(701) 766-1629

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001061MEDICAID (05)ND 
HSZ056MEDICARE PIN (08)ND 

Reviews for SPIRIT LAKE HEALTH CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134303795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164606718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 6 + 0 + 6 + 7 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1134303795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689762171DR. CYNTHIA ANNE GUNDERSON PHARMD
Individual
Pharmacist3883 74TH AVE NE
FT TOTTEN, ND 58335
(701) 766-1612
1457440430DR. TANA NICOLE TRIEPKE PHARM.D.
Individual
Pharmacist3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1612
1396834305 AMY LU SIMON PHARM. D
Individual
Pharmacist3883 74TH AVE NE
FT.TOTTEN, ND 58335
(701) 766-1612
1760501571MRS. CYNTHIA ROSE LILLA RN
Individual
Registered Nurse (Ambulatory Care)3883 74TH AVE NE
FT. TOTTEN, ND 58335
(701) 766-1600
1225158488MR. DALE KEN FITZKE RN
Individual
Registered Nurse (Ambulatory Care)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1861676728 COLETTE BYRUM BSRT(R)(M)
Individual
Radiologic Technologist (Sonography)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1629
1942435110MRS. ERICA LEE CLEMENS RN
Individual
Registered Nurse (Ambulatory Care)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1487932794MISS JENNIFER KAY STUBSON PHARMD
Individual
Pharmacist3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1657
1568592137SPIRIT LAKE HEALTH CENTER PHARMACY
Organization
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1612
1568894681 KIMBERLY ANN BROWN MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1952799215 KRISTINE HOEY
Individual
Registered Nurse3883 74TH AVE NE
FT TOTTEN, ND 58335
(701) 766-1600
1265884308SPIRIT LAKE TRIBE
Organization
Pharmacy (Clinic Pharmacy)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1612
1346573201 LYNDE J MONSON PHARMD
Individual
Pharmacist3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1612
1215480363SPIRIT LAKE TRIBE
Organization
Nurse Practitioner3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1053864108SPIRIT LAKE TRIBE
Organization
Family Medicine3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1417408907SPIRIT LAKE TRIBE
Organization
Optometrist3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1144771650SPIRIT LAKE TRIBE
Organization
Social Worker (Clinical)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1609327196SPIRIT LAKE TRIBE
Organization
Psychiatry & Neurology (Psychiatry)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1508317090SPIRIT LAKE TRIBE
Organization
Dentist3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600
1912458407SPIRIT LAKE TRIBE
Organization
Radiology (Diagnostic Radiology)3883 74TH AVE NE
FORT TOTTEN, ND 58335
(701) 766-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134303795, enumerated in the NPI registry as an "organization" on December 19, 2007

The provider is located at 3883 74th Ave Ne Fort Totten, Nd 58335 and the phone number is (701) 766-1600

This medical organization specializes in Clinic/Center with taxonomy code 261QR0206X with a focus in Radiology, Mammography

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.