| Spirit Lake Tribe | |
|
7527 Ephraim Hill Road Fort Totten ND 58335-0088 | |
| (701) 766-4285 | |
| (701) 766-1229 |
| Full Name | Spirit Lake Tribe |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7527 Ephraim Hill Road, Fort Totten, North Dakota |
| Authorized Official Name and Position | Linda S Peltier (3RD PARTY BILLING MANAGER) |
| Authorized Official Contact | 7017661667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Lake Tribe 7527 Ephraim Hill Road Fort Totten ND 58335-0088 Ph: (701) 766-4285 | Spirit Lake Tribe 7527 Ephraim Hill Road Fort Totten ND 58335-0088 Ph: (701) 766-4285 |
| NPI Number | 1588865794 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588865794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 814 (North Dakota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Spirit Lake Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7184 Hwy 57, Fort Totten, ND 58335 Phone: 701-766-4736 Fax: 701-766-4722 | |
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: 3883 74th Ave Ne, Fort Totten, ND 58335 Phone: 701-766-1600 Fax: 701-766-1630 |