Altru Health System
NPI 1811617103 · Clinic/Center · Grand Forks, ND
Enrolled with Medicare as Mdpp Supplier - In-Person Mdpp Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Altru Health System is a Clinic/Center organization in Grand Forks, ND (NPI 1811617103).
Provider details
- NPI number
- 1811617103
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Other name
- Sanny and Jerry Ryan Center for Prevention and Genetics
- Other name
- Sanny and Jerry Ryan Center for Prevention and Genetics
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Altru Health System's NPI number?
- Altru Health System's National Provider Identifier (NPI) is 1811617103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Altru Health System?
- Altru Health System is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Altru Health System located?
- Altru Health System's practice location on file with NPPES is 4401 S 11th St Ste 1000, Grand Forks, ND 58201-7238.
- What is Altru Health System's phone number?
- The practice phone number listed in the NPPES registry for Altru Health System is (701) 780-7620.
- Does Altru Health System accept Medicare?
- Altru Health System is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Altru Health System?
- The authorized official listed on Altru Health System's NPPES record is Derek Goebel, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Altru Health System's NPI active?
- Yes — Altru Health System's NPI (1811617103) is active in the NPPES registry as of the last update on 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.