National Provider Identifier Database

WHITE EARTH BAND OF CHIPPEWA INDIANS
Rehabilitation, Substance Use Disorder Unit

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)


Contact Information

WHITE EARTH BAND OF CHIPPEWA INDIANS
33991 VICTORY WAY DR
OGEMA, MN56569-9537
Phone: 218-751-6553
Fax: 218-751-1846
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for WHITE EARTH BAND OF CHIPPEWA INDIANS

NPI Number 1013805696
Legal business name
LBN
WHITE EARTH BAND OF CHIPPEWA INDIANS
Authorized official JEREMY SYVERSON - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/24/2025
Last updated 06/24/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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