NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER NPI 1144686106

NPI Information

  • NPI: 1144686106
  • Provider Name: NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Doing Business As: NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER AKA NORTHWEST INDIAN OIC
  • Address: 1819 BEMIDJI AVE N STE 1
    BEMIDJI, MN
    ZIP 56601
  • Phone: (218) 759-2022

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NPI Details

NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER is a community health clinic center in Bemidji, MN. NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER NPI is 1144686106. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Indian Community Development Center Aka Northwest Indian Oic.

The provider's business location address is:

1819 BEMIDJI AVE N STE 1
BEMIDJI, MN
ZIP 56601
Phone: (218) 759-2022
Fax: (218) 759-0090

The provider's authorized official is Rhonda G Conn .
The authorized official title is Director Of Operations And Finance and has the following contact phone number (218) 759-2022.

The enumeration date for this NPI number is 1/6/2016 and was last updated on 3/10/2022.

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
1251S00000XCommunity/Behavioral HealthNo
2253Z00000XIn Home Supportive CareNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QM0850XClinic/CenterAdult Mental HealthNo
5251B00000XCase ManagementNo
6251E00000XHome HealthNo
7261QC1500XClinic/CenterCommunity HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1172V00000XMEDICAIDMINNESOTA
2374U00000XMEDICAIDMINNESOTA
3163WH0200XMEDICAIDMINNESOTA
43747P1801XMEDICAIDMINNESOTA

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: 11/21/2025

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