Spectra Health in Grand Forks - Federally Qualified Health Center (fqhc)
Spectra Health - NPI 1689878324
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 1689878324. 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 7017572103. 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 | 7017572103 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Shannon Ben |
| Telephone Number | 7017572812 |
NPI Number Detail
| NPI Number | 1689878324 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| 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 | 7017572103 |
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 |
|---|---|---|---|
| 1689878324 | MN | -- | |
| 5910 | ND | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Spectra Health?
The Spectra Health has been issued the NPI (National Provider Identifier) 1689878324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Spectra Health is physically located?
The Spectra Health is situated at the following address: 212 S 4Th St Ste 200, Grand Forks, ND 582014781.
What is Spectra Health's specialized field of practice, and what is the corresponding taxonomy classification code?
The Spectra Health's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
When was the Spectra Health's 1689878324 issued?
The Spectra Health's 1689878324 was issued on 2007-06-14.
As of what date were the details related to Spectra Health most recently updated or revised?
The information pertaining to Spectra Health, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-10.