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BOIS FORTE RESERVATION TRIBAL COUNCIL NPI 1871713321


NPI Information

NPI: 1871713321
Provider Name: BOIS FORTE RESERVATION TRIBAL COUNCIL

Doing Business As: BOIS FORTE HUMAN SERVICES

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
13071 NETT LAKE ROAD
SUITE B
NETT LAKE, MN
ZIP 55772
Phone: (218) 757-3295
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BOIS FORTE RESERVATION TRIBAL COUNCIL is an indian health service tribal urban indian health i t u pharmacy in Nett Lake, MN. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. BOIS FORTE RESERVATION TRIBAL COUNCIL NPI is 1871713321. The provider is registered as an organization entity type.
The provider Is Doing Business As Bois Forte Human Services.

The provider's business location address is:

13071 NETT LAKE ROAD
SUITE B
NETT LAKE, MN
ZIP 55772
Phone: (218) 757-3295
Fax: (218) 757-0234

The provider's authorized official is Lynette Tahtinen .
The authorized official title is Data & Finance Specialist and has the following contact phone number (218) 757-3295.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 5/15/2018.


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
1261Q00000XClinic/CenterNo
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

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
1004218800OTHERMINNESOTA101YA0400X

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.