Spectra Health in Grand Forks - Federally Qualified Health Center (fqhc)
Spectra Health - NPI 1255317905
Spectra Health is a Federally Qualified Health Center (fqhc) in Grand Forks, North Dakota. Spectra Health practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Spectra Health is 1255317905. The last update date is 2019-07-10.
Spectra Health's current location address is 212 S 4th St Ste 200, Grand Forks, North Dakota. You can contact this provider via phone number 7017572100 and fax number 7017570305. The mailing address for Spectra Health is 212 S 4th St Ste 200, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spectra Health |
|---|---|
| Address | 212 S 4th St Ste 200, Grand Forks, North Dakota |
| Phone Number | 7017572100 |
| Fax Number | 7017570305 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Shannon Ben |
| Telephone Number | 7017572812 |
NPI Number Detail
| NPI Number | 1255317905 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2019-07-10 |
Provider Mailing Address Detail
| Address | 212 S 4th St Ste 200 |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582014781 |
| Phone Number | 7017572100 |
| Fax Number | 7017570305 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5908 | ND | -- |
Post Comment/ Review Below
What is the Spectra Health's unique identification number?
The Spectra Health has been assigned the NPI (National Provider Identifier) Number 1255317905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Spectra Health is physically located?
The Spectra Health is physically situated at the following address: 212 S 4Th St Ste 200, Grand Forks, ND, 582014781.
What is Spectra Health's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spectra Health is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255317905 to Spectra Health?
The Centers for Medicare & Medicaid Services originally issued the 1255317905 to Spectra Health on 2005-12-15.
When was the information regarding Spectra Health, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Spectra Health, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY