NPI 1043309552 · live from the CMS NPI Registry
Altru Health System
Clinic/Center in Grand Forks, ND. National Provider Identifier 1043309552, active.
NPI record
| NPI | 1043309552 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 1300 S Columbia Rd, Grand Forks, ND 58201 |
| Practice phone | 701-780-5000 |
| Mailing address | Po Box 860939, Minneapolis, MN 55486 |
| Enumerated | October 12, 2006 |
| Last updated | February 2, 2026 |
| Authorized official | Derek Goebel, Chief Financial Officer |
| Other names | Altru Clinic; Altru 1300 Columbia |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | — |
| Allergy & Immunology | 207K00000X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Internal Medicine | 207R00000X | — |
| Surgery | 208600000X | — |
| Anesthesiology | 207L00000X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Family Medicine | 207Q00000X | — |
| Clinic/Center primary | 261Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.