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Spirit Lake Tribe — NPI 1083331649, Fort Totten, ND | NPI Central

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NPI 1083331649

OrganizationActive

Spirit Lake Tribe

NPI 1083331649 · Case Management Agency · Fort Totten, ND

Provider details

NPI number: 1083331649
Entity type: Organization
Primary specialty: Case Management AgencyAgencies
Organization subpart: No
Authorized official: Carla Carmona, Program Manager(701) 766-4736

Specialties & taxonomies

Case Management AgencyPrimary251B00000X
Agencies
Community/Behavioral Health Agency251S00000X
Agencies
Non-emergency Medical Transport (VAN)343900000X
Transportation Services

Practice location

7184 Hwy 57

Fort Totten, ND 58335

Phone: (701) 766-4736

Fax: (701) 766-4722

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

7184 Hwy 57

Fort Totten, ND 58335

Other names (DBA / former)

Doing business as: Spirit Lake Tribe Tiwahe Program

Registry dates

Enumerated: 2022-10-25
Last updated: 2022-10-25
Certified: 2022-10-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.