Bois Forte Reservation Tribal Council

NPI #1649270901 in Nett Lake, Minnesota

Provider Information

NPI Number: 1649270901
Entity Type: Organization
Organization Name: Bois Forte Reservation Tribal Council
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Jul 28, 2005
Last Updated: May 16, 2018

Practice Location

Address: 13071 NETT LAKE ROAD, SUITE B
City: Nett Lake
State: Minnesota
ZIP Code: 55772
Phone: (218) 757-3295

Authorized Official

Name: LYNETTE TAHTINEN, CPCS
Title: DATA & FINANCE SPECIALIST
Phone: (218) 757-3295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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