NPI 1720152457
Spirit Lake Tribe
Practice location
- Address
- 416 2nd Avenue North, Fort Totten, ND 58335
- Phone
- (701) 766-1238
- Fax
- (701) 766-1260
- Mailing address
- 416 2nd Avenue North PO Box 489, Fort Totten, ND 58335
Authorised official
- Name
- Peggy L. Cavanaugh
- Title
- Tribal Chairperson
- Phone
- (701) 381-2006
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1720152457
- Entity type
- Organization
- NPI issued
- 17 Nov 2006
- Record last updated
- 9 Oct 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.