| Spectra Health | |
|
607 Towner Ave Larimore ND 58251 | |
| (701) 343-6418 | |
| (701) 343-2937 |
| Full Name | Spectra Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 Towner Ave, Larimore, North Dakota |
| Authorized Official Name and Position | Ben Shannon (OPERATIONS MANAGER) |
| Authorized Official Contact | 7017572812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectra Health 212 S 4th St Ste 200 Grand Forks ND 58201-4781 Ph: (701) 757-2100 | Spectra Health 607 Towner Ave Larimore ND 58251 Ph: (701) 343-6418 |
| NPI Number | 1255317905 |
|---|---|
| Provider Enumeration Date | 12/15/2005 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 8022075258 |
|---|---|
| Medicare Enrollment ID | O20090617000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255317905 | NPI | - | NPPES |
| 05908 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Northwood Deaconess Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Towner Ave, Larimore, ND 58251 Phone: 701-587-6060 Fax: 701-587-6492 |