Healthcare Provider Details

I. General information

NPI: 1437248945
Provider Name (Legal Business Name): ALTRU HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 S WASHINGTON ST
GRAND FORKS ND
58201-7217
US

IV. Provider business mailing address

PO BOX 13780
GRAND FORKS ND
58208-3780
US

V. Phone/Fax

Practice location:
  • Phone: 701-780-2311
  • Fax:
Mailing address:
  • Phone: 701-780-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS ARVIN
Title or Position: CFO
Credential:
Phone: 701-780-5000