White Earth Band of Chippewa

NPI #1366195133 in Mahnomen, Minnesota

Provider Information

NPI Number: 1366195133
Entity Type: Organization
Organization Name: White Earth Band of Chippewa
Subpart: Yes (part of a larger organization)
Parent Organization: WHITE EARTH BAND OF CHIPPWA INDIANS
Primary Specialty: Case Management
Enumeration Date: Feb 1, 2022
Last Updated: Mar 1, 2022

Practice Location

Address: 2515 WORKFORCE CENTER ROAD
City: Mahnomen
State: Minnesota
ZIP Code: 56557
Phone: (218) 935-5554

Authorized Official

Name: PATRICIA ANN BUTLER
Title: HEALTH DIRECTOR
Phone: (218) 983-3286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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