BOIS FORTE RESERVATION TRIBAL GOVERNMENT NPI 1972666469

NPI Information

  • NPI: 1972666469
  • Provider Name: BOIS FORTE RESERVATION TRIBAL GOVERNMENT
  • Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
  • Entity Type: Organization
  • :
  • Address: 5219 ST JOHN DR
    NETT LAKE, MN
    ZIP 55772
  • Phone: (218) 757-3650

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NPI Details

BOIS FORTE RESERVATION TRIBAL GOVERNMENT 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 GOVERNMENT NPI is 1972666469. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5219 ST JOHN DR
NETT LAKE, MN
ZIP 55772
Phone: (218) 757-3650
Fax: (218) 757-0234

The provider's authorized official is Christie Swanson .
The authorized official title is Prc And Billing Specialist and has the following contact phone number (218) 757-3650.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 1/21/2025.

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
1261QH0100XClinic/CenterHealth Service261489-2MINNESOTANo
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
10104492OTHERMINNESOTAMEDICA
2177515400MEDICAIDMINNESOTA
363G35BOOTHERMINNESOTABCBS

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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