MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES; NPI #1679933568

Contact Information

MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES

15546 STATE 371 NW
CASS LAKE, MN 56633

Phone: 218-339-3167
Fax: 218-335-8080
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Day Care	261QA0600X

Indicates primary specialty

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NPI Profile & details for MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES

NPI Number	`1679933568`
LBN Legal business name	MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES
Authorized official	GARY FRAZER - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/04/2016
Last updated	03/04/2016 - About 10 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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