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WHITE EARTH BAND OF CHIPPEWA NPI 1366195133


NPI Information

NPI: 1366195133
Provider Name: WHITE EARTH BAND OF CHIPPEWA

Other Name: WHITE EARTH HOMELESS PROGRAM

Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 24D2082111

Address:
2515 WORKFORCE CENTER ROAD
MAHNOMEN, MN
ZIP 56557
Phone: (218) 935-5554
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WHITE EARTH BAND OF CHIPPEWA is a case management in Mahnomen, MN. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. WHITE EARTH BAND OF CHIPPEWA NPI is 1366195133. The provider is registered as an organization entity type.
The provider Other Name Is White Earth Homeless Program.

The provider's business location address is:

2515 WORKFORCE CENTER ROAD
MAHNOMEN, MN
ZIP 56557
Phone: (218) 935-5554

The provider's authorized official is Patricia Ann Butler .
The authorized official title is Health Director and has the following contact phone number (218) 983-3286.

The CLIA number assigned to this NPI record is 24D2082111 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2022 and was last updated on 3/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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