White Earth Band of Chippewa
NPI #1174944110 in White Earth, Minnesota
Provider Information
- NPI Number
- 1174944110
- Entity Type
- Organization
- Organization Name
- White Earth Band of Chippewa
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WHITE EARTH BAND OF CHIPPEWA
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 18, 2013
- Last Updated
- Dec 18, 2013
Practice Location
- Address
- 26246 CRANE RD
- City
- White Earth
- State
- Minnesota
- ZIP Code
- 56591-9998
- Phone
- (218) 983-3286
Authorized Official
- Name
- ERMA VIZENOR
- Title
- TRIBAL CHAIRWOMAN
- Phone
- (218) 983-3286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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