ALTRU CLINIC - WARROAD
NPI 1689763195
Clinic/Center - Rural Health in Warroad, MN

Active since October 12, 2006CLIA 24D2271141 · Waiver
412 MAIN AVE NE, WARROAD, MN 56763(218) 386-2020 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 19, 2022, Aug 31, 2022, Aug 18, 2021 and 6 more (9 updates tracked since 2019).

About Altru Clinic - Warroad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTRU CLINIC - WARROAD (NPI 1689763195) is a healthcare organization registered as a rural health in Warroad, Minnesota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Derek Goebel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1689763195
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameALTRU HEALTH SYSTEM
Location Address412 MAIN AVE NEWarroad, MN 56763-2342
Mailing AddressPo Box 13780Grand Forks, ND 58208-1534 · (701) 780-5000
Organization SubpartNo
Authorized OfficialDerek GoebelChief Financial Officer · (701) 780-1470
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 30, 20249 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
NPI 1689763195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
412 MAIN AVE NE, Warroad, MN 56763

Other Names 1

Doing Business AsAltru Clinic - Warroad

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2271141

Altru Clinic Warroad · Warroad, MN
Active · expires Oct 27, 2026
CLIA Number24D2271141
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorAllyson J. Thortsen
Laboratory Phone(218) 386-2020
Laboratory LocationAltru Clinic Warroad412 North Main Ave, Warroad, MN 56763
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
412 MAIN AVE NE
WARROAD, MN 56763
Non-Pharmacy Dispensing Site
412 MAIN AVE NE
WARROAD, MN 56763
Nurse Practitioner (Family)
412 MAIN AVE NE
WARROAD, MN 56763
Clinic/Center (Rural Health)
412 MAIN AVE NE
WARROAD, MN 56763

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689763195, enumerated as an "organization" on October 12, 2006.

The provider is located at 412 MAIN AVE NE WARROAD, MN 56763 and the phone number is (218) 386-2020.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.