WHITE EARTH HEALTH CENTER NPI 1427263706

NPI Information

  • NPI: 1427263706
  • Provider Name: WHITE EARTH HEALTH CENTER
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Other Name: NAYTAHWAUSH HEALTH STATION
  • CLIA Number: 24D0669265
  • Address: NAYTAHWAUSH HEALTH STATION 238 CHURCH STREET
    NAYTAHWAUSH, MN
    ZIP 56566
  • Phone: (218) 935-2238

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NPI Details

WHITE EARTH HEALTH CENTER is a durable medical equipment medical supplies in Naytahwaush, MN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WHITE EARTH HEALTH CENTER NPI is 1427263706. The provider is registered as an organization entity type.
The provider Other Name Is Naytahwaush Health Station.

The provider's business location address is:

NAYTAHWAUSH HEALTH STATION 238 CHURCH STREET
NAYTAHWAUSH, MN
ZIP 56566
Phone: (218) 935-2238
Fax: (218) 935-5085

The provider's authorized official is Fred C Koebrick .
The authorized official title is Chief Executive Officer (ceo) and has the following contact phone number (218) 983-6214.

The CLIA number assigned to this NPI record is 24D0669265 - other - dhhs - indian health svcs with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 11/30/2009.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
15511210002OTHERMINNESOTADMEPOS SUPPLIER NUMBER
2246753400MEDICAIDMINNESOTA
3HSZ053MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE PART B NUMBER

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: 3/30/2025

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