| Spirit Lake Tribe | |
|
7184 Hwy 57 Fort Totten ND 58335 | |
| (701) 766-4736 | |
| (701) 766-4722 |
| Full Name | Spirit Lake Tribe |
|---|---|
| Speciality | Case Management |
| Location | 7184 Hwy 57, Fort Totten, North Dakota |
| Authorized Official Name and Position | Carla Carmona (PROGRAM MANAGER) |
| Authorized Official Contact | 7017664736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Lake Tribe 7184 Hwy 57 Fort Totten ND 58335 Ph: (701) 766-4736 | Spirit Lake Tribe 7184 Hwy 57 Fort Totten ND 58335 Ph: (701) 766-4736 |
| NPI Number | 1083331649 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083331649 | NPI | - | NPPES |
Spirit Lake Tribe Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 Fax: 701-766-1630 | |
Spirit Lake Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 Fax: 701-766-1630 | |
Spirit Lake Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7527 Ephraim Hill Road, Fort Totten, ND 58335 Phone: 701-766-4285 Fax: 701-766-1229 | |
Spirit Lake Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 Fax: 701-766-1630 |