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ALTRU HEALTH SYSTEM
NPI 1811617103
Clinic/Center in Grand Forks, ND

Active since August 29, 2022
4401 S 11TH ST STE 1000, GRAND FORKS, ND 58201(701) 780-7620 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Aug 29, 2022 (2 updates tracked since 2022).

About Altru Health System NPPES

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

ALTRU HEALTH SYSTEM (NPI 1811617103) is a healthcare organization registered as a clinic/center in Grand Forks, North Dakota and active in the NPI registry since August 2022. The organization lists Derek Goebel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1811617103
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameALTRU HEALTH SYSTEM
Location Address4401 S 11TH ST STE 1000Grand Forks, ND 58201-7238
Mailing AddressPo Box 860939Minneapolis, MN 55486-0939
Phone(701) 780-7620
Organization SubpartYes
Authorized OfficialDerek GoebelChief Financial Officer · (701) 780-1470
Enumeration DateAugust 29, 2022
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1811617103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4401 S 11TH ST STE 1000, Grand Forks, ND 58201
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Other Names 1

Other NameSanny And Jerry Ryan Center For Prevention And Genetics

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Altru Health System's NPI number?

The NPI number for Altru Health System is 1811617103. It was assigned to this organization in the NPPES registry on August 29, 2022. The provider is also known as Sanny and Jerry Ryan Center for Prevention and Genetics.

Where is Altru Health System located?

Altru Health System is located at 4401 S 11th St Ste 1000, Grand Forks, ND 58201. The listed phone number is (701) 780-7620.

What is Altru Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Altru Health System was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.