White Earth Health Center

NPI #1275748543 in Ponsford, Minnesota

Provider Information

NPI Number
1275748543
Entity Type
Organization
Organization Name
White Earth Health Center
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 11, 2007
Last Updated
Nov 24, 2009

Practice Location

Address
47520 282 STREET
ZIP Code
56575
Phone
(218) 573-2162

Authorized Official

Name
BRYCE J REDGRAVE
Title
CHIEF EXECUTIVE OFFICER (CEO)
Phone
(218) 983-6214

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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