NPI 1083331649

Spirit Lake Tribe

Organisation Case Management Agency Fort Totten, ND

Practice location

Address: 7184 Hwy 57, Fort Totten, ND 58335
Phone: (701) 766-4736
Fax: (701) 766-4722

Authorised official

Name: Carla Carmona
Title: Program Manager
Phone: (701) 766-4736

Registered specialties (3)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Registry record

NPI: 1083331649
Entity type: Organization
NPI issued: 25 Oct 2022
Record last updated: 25 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.