Mille Lacs Band of Ojibwe Indians

NPI #1740357169 in Onamia, Minnesota

Provider Information

NPI Number
1740357169
Entity Type
Organization
Organization Name
Mille Lacs Band of Ojibwe Indians
Subpart
Yes (part of a larger organization)
Parent Organization
MILLE LACS BAND OF OJIBWE INDIANS
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 29, 2006
Last Updated
Mar 17, 2022

Practice Location

Address
18562 MINOBIMAADIZI LOOP
City
Onamia
ZIP Code
56359
Phone
(888) 622-4163

Authorized Official

Name
NICOLE ANDERSON
Title
COMMISSIONER OF HEALTH & HUMAN SERV
Phone
(320) 532-4163

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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