OrganizationActive
Altru Health System
NPI 1740621556 · Clinic/Center · East Grand Forks, MN
Provider details
- NPI number
- 1740621556
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Altru Health System
- Organization subpart
- Yes
- Authorized official
- Derek Goebel, Chief Financial Officer(701) 780-1470
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
607 Demers Ave
East Grand Forks, MN 56721-1833
Phone: (218) 773-0357
Street-level locationGet directions
Mailing address
Po Box 860939
Minneapolis, MN 55486-0939
Other names (DBA / former)
- Doing business as
- Altru Clinic - East Grand Forks
- Doing business as
- Altru Clinic - East Grand Forks
Registry dates
- Enumerated
- 2013-07-09
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.