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Contact Information

WHITE EARTH BAND OF CHIPPEWA
26246 CRANE RD
WHITE EARTH, MN56591-9998
 Phone: 218-983-3285
 Fax: 218-983-4299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Delivered Meals

332U00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for WHITE EARTH BAND OF CHIPPEWA

NPI Number 1710996566
LBN Legal business name WHITE EARTH BAND OF CHIPPEWA
Authorized official KATHERINE THOMPSON - (EDLERLY NURITION COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2006
Last updated 12/16/2021 - About 4 years ago
Identifiers
MN License # 293607100
MN Medicaid 293607100
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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