| Organization Name: | SPIRIT LAKE TRIBE |
| NPI Number: | 1740387059 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATE JOHNSON (MANAGER) |
| Mailing Address: | 1403 Dakotah Ave Fort Totten |
| State: | ND US |
| Postal Code: | 583350449 |
| Phone Number: | 7017664223 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 03/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 142 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |