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Altru Health System

NPI 1740621556ActiveOrganization· Clinic/Center· East Grand Forks, MN

Clinic/Center in East Grand Forks, Minnesota, registered in NPPES in July 2013, part of Altru Health System. The authorized official on file is Derek Goebel, Chief Financial Officer.

Overview

NPI1740621556
StatusActive
Entity typeOrganization (subpart)
Parent organizationAltru Health System
NPI issuedJul 9, 2013
Last updated in NPPESNov 18, 2025
Certified by providerNov 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in East Grand Forks

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