Altru Health System
Clinic Pharmacy
725 Hamline St, Grand Forks
North Dakota, 58203-2819
701-780-6870 701-780-6878
Altru Health System is a Clinic Pharmacy in Grand Forks, North Dakota. It is located at 725 Hamline St, Grand Forks and it's customer support contact number is 701-780-6870. The authorized person of Altru Health System is Derek Goebel who is Chief Financial Officer of the pharmacy and his contact number is 701-780-1470. Active license number of Altru Health System is PHAR477 for Clinic Pharmacy in North Dakota. Altru Health System accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Altru Health System is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Altru Health System type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Altru Health System |
| Type: | Clinic Pharmacy |
| Location: | 725 Hamline St, Grand Forks,
North Dakota, 58203-2819 |
| Phone: | 701-780-6870 |
| Fax: | 701-780-6878 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Derek Goebel |
| Position: | Chief Financial Officer |
| Contact Number: | 701-780-1470 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1144368085 |
| NPI Enumeration Date: | 02 Feb, 2007 |
| NPI Last Update On: | 23 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Altru Health System are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | PHAR477 | North Dakota | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 21082 | Medicaid | North Dakota | |
| 2071404 | Other | | Pk |
| 574155600 | Medicaid | Minnesota | |
Medicare Enrollment:
Altru Health System is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1355251604 | O20100930018292 | Altru Health System | DME SUPPLIER - PHARMACY |
Products Available:
Altru Health System has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 725 Hamline St,
Grand Forks, North Dakota |
| Zip: | 58203-2819 |
| Phone Number: | 701-780-6870 |
| Fax Number: | 701-780-6878 |
Patients can reach Altru Health System at
725 Hamline St, Grand Forks, North Dakota or can
call on customer care at 701-780-6870.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.