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WHITE EARTH BAND OF CHIPPEWA NPI 1710996566


NPI Information

NPI: 1710996566
Provider Name: WHITE EARTH BAND OF CHIPPEWA

Other Name: WHITE EARTH ELDERLY NUTRITION

Classification: Home Delivered Meals - 332U00000X
Entity Type: Organization
Address:
26246 CRANE RD
WHITE EARTH, MN
ZIP 56591
Phone: (218) 983-3285
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WHITE EARTH BAND OF CHIPPEWA is a home delivered meals in White Earth, MN. The provider is home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. WHITE EARTH BAND OF CHIPPEWA NPI is 1710996566. The provider is registered as an organization entity type.
The provider Other Name Is White Earth Elderly Nutrition.

The provider's business location address is:

26246 CRANE RD
WHITE EARTH, MN
ZIP 56591-998
Phone: (218) 983-3285
Fax: (218) 983-4299

The provider's authorized official is Katherine Thompson .
The authorized official title is Edlerly Nurition Coordinator and has the following contact phone number (218) 983-3285.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 12/16/2021.


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
1332U00000XHome Delivered Meals293607100MINNESOTAYes

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
1293607100MEDICAIDMINNESOTA

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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