NPI 1114343423

Spectra Health

Organisation Federally Qualified Health Center (FQHC) Grand Forks, ND

Practice location

Address: 212 S 4th St Suite 301, Grand Forks, ND 58201-4777
Phone: (701) 757-2100
Fax: (701) 757-0305
Mailing address: 212 S 4th St STE 200, Grand Forks, ND 58201-4781

Authorised official

Name: Ben Shannon
Title: Operations Manager
Phone: (701) 757-2812

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in North Dakota →

Registry record

NPI: 1114343423
Entity type: Organization
NPI issued: 11 Mar 2014
Record last updated: 10 Jul 2019

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.