Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, Federal |
261QP0904X |
| NPI # | 1093761710 |
| LBN Legal business name | WHITE EARTH INDIAN HEALTH CENTER |
| Authorized official | JOCELYN JACKSON - (ADMINISTRATIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/25/2006 |
| Last updated | 06/30/2023 - About 3 years ago |
| Identifiers | n/a |
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