Bois Forte Reservation Tribal Council

NPI #1871713321 in Nett Lake, Minnesota

Provider Information

NPI Number: 1871713321
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: Apr 26, 2007
Last Updated: May 15, 2018

Practice Location

Address: 13071 NETT LAKE ROAD
Address 2: 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
Clinic/Center	261Q00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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