ALTRU HEALTH SYSTEM - RENAL DIALYSIS - GRAND FORKS – NPI #1033208509
Clinic/Center

ALTRU HEALTH SYSTEM - RENAL DIALYSIS - GRAND FORKS is an AHC clinic located in GRAND FORKS, ND. NPPES has assigned the NPI number 1033208509 to ALTRU HEALTH SYSTEM - RENAL DIALYSIS - GRAND FORKS on October 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALTRU HEALTH SYSTEM - RENAL DIALYSIS - GRAND FORKS” is a dba name, the actual legal business name for this organization is ALTRU HEALTH SYSTEM. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 2 years ago on Dec 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTRU HEALTH SYSTEM - RENAL DIALYSIS - GRAND FORKS below.

NPI Profile for
ALTRU HEALTH SYSTEM

NPI Number
1033208509
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALTRU HEALTH SYSTEM
Doing Business As (dba): ALTRU HEALTH SYSTEM - RENAL DIALYSIS - GRAND FORKS
Primary location
1200 S COLUMBIA RD
GRAND FORKS, ND 58201-4036
Phone: (701) 780-5000 Fax:
Mailing address
PO BOX 13780
GRAND FORKS, ND 58208-3780
Phone: (701) 780-5000 Fax:
Organization Subpart
No
Authorized Official
DEREK GOEBEL
CFO
Phone: (701) 780-1470
Updated
Certification Date
Dec 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 ND 5021A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.