Healthcare Provider Details

I. General information

NPI: 1326701970
Provider Name (Legal Business Name): ALTRU HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MAIN AVE
RUGBY ND
58368-2118
US

IV. Provider business mailing address

PO BOX 13780
GRAND FORKS ND
58208-3780
US

V. Phone/Fax

Practice location:
  • Phone: 701-776-5455
  • Fax:
Mailing address:
  • Phone: 701-701-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

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