Bois Forte Reservation Tribal Government

NPI #1073530150 in Nett Lake, Minnesota

Provider Information

NPI Number: 1073530150
Entity Type: Organization
Organization Name: Bois Forte Reservation Tribal Government
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Jul 16, 2006
Last Updated: May 19, 2022

Practice Location

Address: 5219 ST. JOHN DR
City: Nett Lake
State: Minnesota
ZIP Code: 55772
Phone: (218) 757-3650

Authorized Official

Name: CATHERINE CHAVERS
Title: TRIBAL CHAIRMAN
Phone: (218) 757-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Case Management	251B00000X
Home Delivered Meals	332U00000X
Respite Care	385H00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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