|Taxonomy Code||Specialty Code||Provider Type|
|1041C0700X||80||Licensed Clinical Social Worker|
|332B00000X||54||Other Medical Supply Company|
|LBN Legal business name||RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA|
|DBA Doing business as||RED CLIFF COMMUNITY HEALTH CENTER|
|Authorized official||PATRICIA DERAGON-NAVARRO - (HEALTH ADMINISTRATOR)|
|Organization subpart 1||Yes|
|Last updated||09/18/2014 - About 2 years ago|
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RED CLIFF COMMUNITY HEALTH CENTER
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