National Provider Identifier Database

WHITE EARTH BAND OF CHIPPEWA
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

WHITE EARTH BAND OF CHIPPEWA
2388 STATE HWY 200
MAHNOMEN, MN56557
Phone: 218-936-5653
Fax: 218-936-5655
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for WHITE EARTH BAND OF CHIPPEWA

NPI Number 1558463877
Legal business name
LBN
WHITE EARTH BAND OF CHIPPEWA
Authorized official PATRICIA MORAN - (CHEMICAL DEPENDENCY COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 09/05/2006
Last updated 08/22/2020 - About 6 years 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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