WHITE EARTH BAND OF CHIPPEWA; NPI #1558463877

Contact Information

WHITE EARTH BAND OF CHIPPEWA

2388 STATE HWY 200
MAHNOMEN, MN 56557

Phone: 218-936-5653
Fax: 218-936-5655
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for WHITE EARTH BAND OF CHIPPEWA

NPI #	`1558463877`
LBN Legal business name	WHITE EARTH BAND OF CHIPPEWA
Authorized official	PATRICIA MORAN - (CHEMICAL DEPENDENCY COORDINATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/05/2006
Last updated	08/22/2020 - About 6 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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WHITE EARTH BAND OF CHIPPEWA

Contact Information

Specialty

Substance Abuse Disorder Rehabilitation Facility

NPI Profile & details for WHITE EARTH BAND OF CHIPPEWA

Reviews for WHITE EARTH BAND OF CHIPPEWA