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General NPI Number Information
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NPI Number | 1114485315
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Entity Type | Organization
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Legal Business Name | ALTRU HEALTH SYSTEM
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1200 S COLUMBIA RD
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City | GRAND FORKS
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State | ND
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Zip | 58201-4044
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Country | US
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Telephone | 701-780-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13780
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City | GRAND FORKS
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State | ND
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Zip | 58208-3780
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Country | US
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Telephone | 701-780-3696
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Fax | 701-780-4055
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Authorized Official
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Title or Position | DIRECTOR OF PAYER REVENUE MANAGEMEN
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Name | COURTNEY MCNAMEE
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Credential |
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Telephone | 701-780-5821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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