Spirit Lake Health Center Pharmacy
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
3883 74th Ave Ne, Fort Totten
North Dakota, 58335
701-766-1612 701-766-1625
Spirit Lake Health Center Pharmacy is not a DME supplier for medicare equipments and products.
Spirit Lake Health Center Pharmacy is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Fort Totten, North Dakota. It is located at 3883 74th Ave Ne, Fort Totten and it's customer support contact number is 701-766-1612. The authorized person of Spirit Lake Health Center Pharmacy is James Cummings who is Pharmacy Program Specialist of the pharmacy and his contact number is 405-951-6086.
Spirit Lake Health Center Pharmacy is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Spirit Lake Health Center Pharmacy 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: | Spirit Lake Health Center Pharmacy |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 3883 74th Ave Ne, Fort Totten, North Dakota, 58335 |
| Phone: | 701-766-1612 |
| Fax: | 701-766-1625 |
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: | James Cummings |
| Position: | Pharmacy Program Specialist |
| Contact Number: | 405-951-6086 |
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: | 1568592137 |
| NPI Enumeration Date: | 06 Mar, 2007 |
| NPI Last Update On: | 07 Mar, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spirit Lake Health Center Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Primary | |
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 |
| 01051 | Medicaid | North Dakota | |
| 1061SP | Medicaid | North Dakota | |
| 3503693 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Spirit Lake Health Ctr, 3100 Solutions Center Chicago, Illinois |
| Zip: | 60677-3001 |
| Phone Number: | 701-766-1612 |
| Fax Number: | 701-766-1625 |
Patients can reach Spirit Lake Health Center Pharmacy at
3883 74th Ave Ne, Fort Totten, North Dakota or can
call on customer care at 701-766-1612.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.