Spirit Lake Health Center in Fort Totten - Radiology, Mammography
Spirit Lake Health Center - NPI 1134303795
Spirit Lake Health Center is a Radiology, Mammography in Fort Totten, North Dakota. Spirit Lake Health Center practices all healthcare services and medical treatments related to Radiology, Mammography. The NPI Number for Spirit Lake Health Center is 1134303795. The last update date is 2007-12-19.
Spirit Lake Health Center's current location address is Po Box 309, Fort Totten, North Dakota. You can contact this provider via phone number 7017661600. The mailing address for Spirit Lake Health Center is Po Box 309, Fort Totten, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spirit Lake Health Center |
|---|---|
| Address | Po Box 309, Fort Totten, North Dakota |
| Phone Number | 7017661600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL IN |
|---|---|
| Authorized Official Name | Byrum A Colettte |
| Credentials | BSRT(R)(M) |
| Telephone Number | 7017661629 |
NPI Number Detail
| NPI Number | 1134303795 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2007-12-19 |
Provider Mailing Address Detail
| Address | Po Box 309 |
|---|---|
| City | Fort Totten |
| State | North Dakota (ND) |
| Post Code | 583350309 |
| Phone Number | 7017661600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiology, Mammography |
|---|---|
| Taxonomy | 261Qr0206X |
|
Definition: Specializes in breast imaging to screen for and diagnose breast cancer. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1061 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Spirit Lake Health Center by the Centers for Medicare & Medicaid Services (CMS)?
The Spirit Lake Health Center has been assigned the NPI (National Provider Identifier) 1134303795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Spirit Lake Health Center is physically located?
The Spirit Lake Health Center is physically situated at the following address: Po Box 309, Fort Totten, ND, 583350309.
What is Spirit Lake Health Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spirit Lake Health Center is Radiology, Mammography, and the taxonomy code that categorizes this field of expertise is 261Qr0206X.
On what date did the Spirit Lake Health Center receive its 1134303795 assignment from the Centers for Medicare & Medicaid Services?
The Spirit Lake Health Center was assigned its 1134303795 by the Centers for Medicare & Medicaid Services on 2007-12-19.
When was the Spirit Lake Health Center's information last updated?
The Spirit Lake Health Center's information was last updated on 2007-12-19.
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