Spirit Lake Tribe in Fort Totten - Clinical

Spirit Lake Tribe - NPI 1588865794

Spirit Lake Tribe is a Clinical in Fort Totten, North Dakota. Spirit Lake Tribe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Spirit Lake Tribe is 1588865794. The last update date is 2021-09-23.

Spirit Lake Tribe's current location address is 7527 Ephraim Hill Road, Fort Totten, North Dakota. You can contact this provider via phone number 7017664285 and fax number 7017661229. The mailing address for Spirit Lake Tribe is 7527 Ephraim Hill Road, Fort Totten, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Spirit Lake Tribe
Address 7527 Ephraim Hill Road, Fort Totten, North Dakota
Phone Number 7017664285
Fax Number 7017661229
Sole Proprietor --
Credentials --

Authorized Official

Title or Position 3RD PARTY
Authorized Official Name Peltier S Linda
Telephone Number 7017661667

NPI Number Detail

NPI Number 1588865794
Provider Enumeration Date 2007-05-29
Last Updated Date 2021-09-23

Provider Mailing Address Detail

Address 7527 Ephraim Hill Road
City Fort Totten
State North Dakota (ND)
Post Code 583350088
Phone Number 7017664285
Fax Number 7017661229

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 814
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Spirit Lake Tribe

What is the unique 10-digit identifier code issued to Spirit Lake Tribe by the Centers for Medicare & Medicaid Services?

The Spirit Lake Tribe has been assigned the NPI (National Provider Identifier) 1588865794 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Spirit Lake Tribe's facilities are geographically located?

The facilities of Spirit Lake Tribe are physically situated at the following location: 7527 Ephraim Hill Road, Fort Totten, ND, 583350088.

What is Spirit Lake Tribe's specialized field of practice, and what is the corresponding taxonomy classification code?

The Spirit Lake Tribe's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1588865794 to Spirit Lake Tribe?

The Spirit Lake Tribe received its 1588865794 assignment from the Centers for Medicare & Medicaid Services on 2007-05-29.

As of what date was the information pertaining to Spirit Lake Tribe, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Spirit Lake Tribe, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-09-23.

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