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General NPI Number Information
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NPI Number | 1629347489
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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 | 12/23/2011
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 400 S MINNESOTA ST
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City | CROOKSTON
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State | MN
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Zip | 56716-1808
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Country | US
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Telephone | 701-780-5877
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Fax | 701-780-5852
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Provider Business Mailing Address
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Address Line | PO BOX 860939
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0939
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Country | US
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Telephone | 701-780-5000
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DEREK GOEBEL
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Credential |
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Telephone | 701-780-1470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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