Altru Family Medicine Center
NPI #1174662852 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1174662852
- Entity Type
- Organization
- Organization Name
- Altru Family Medicine Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 1380 S COLUMBIA RD
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-4059
- Phone
- (701) 795-2230
Authorized Official
- Name
- MR. KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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