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General NPI Number Information
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NPI Number | 1760117295
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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 | 07/19/2022
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1003 N MAIN ST
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City | DRAYTON
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State | ND
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Zip | 58225-4624
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Country | US
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Telephone | 701-454-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 N MAIN ST
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City | DRAYTON
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State | ND
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Zip | 58225-4624
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Country | US
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Telephone |
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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