SPECTRA HEALTH – NPI #1255317905
Clinic/Center

SPECTRA HEALTH is an AHC clinic located in LARIMORE, ND. NPPES has assigned the NPI number 1255317905 to SPECTRA HEALTH on December 15, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 7 years ago on Jul 10, 2019. 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 SPECTRA HEALTH below.

NPI Profile for
SPECTRA HEALTH

NPI Number
1255317905
Enumeration Date

(more than 20 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
SPECTRA HEALTH
Primary location
607 TOWNER AVE
LARIMORE, ND 58251
Phone: (701) 343-6418 Fax: (701) 343-2937
Mailing address
212 S 4TH ST STE 200
GRAND FORKS, ND 58201-4781
Phone: (701) 757-2100 Fax: (701) 757-0305
Organization Subpart
No
Authorized Official
BEN SHANNON
OPERATIONS MANAGER
Phone: (701) 757-2812
Updated
Identifiers

Identifiers for SPECTRA HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDND05908
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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

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.