Altru Health System
NPI 1811617103ActiveOrganization· Clinic/Center· Grand Forks, ND
Clinic/Center in Grand Forks, North Dakota, registered in NPPES in August 2022, part of Altru Health System. The authorized official on file is Derek Goebel, Chief Financial Officer. Enrolled in Medicare as mdpp supplier - in-person mdpp supplier.
Overview
| NPI | 1811617103 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Altru Health System |
| NPI issued | Aug 29, 2022 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Mdpp Supplier - In-Person Mdpp Supplier (ND) |
|---|
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