Organization Active NPI

White Earth Band of Chippewa Indians

Doing business as White Earth Family Treatment

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Ogema, MN
National Provider Identifier
1013805696
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
WHITE EARTH BAND OF CHIPPEWA INDIANS
Doing business as
White Earth Family Treatment
Practice address
33991 Victory Way Dr
Ogema, MN 56569-9537
Phone
(218) 751-6553
Fax
(218) 751-1846
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeremy Syverson, MBA
Title
Chief Executive Officer
Phone
(218) 755-7146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

33991 Victory Way Dr
Ogema, MN 56569-9537

Mailing address

1741 15TH St NW
Bemidji, MN 56601-8755
Phone (218) 755-7146

Other names 1

  • White Earth Family Treatment Doing business as

National Provider Directory

National Provider Directory

Locations

33991 Victory Way Dr
Ogema, MN 56569
Phone (218) 751-6553

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1013805696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 15TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018755",
            "telephone_number": "218-755-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33991 VICTORY WAY DR",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699537",
            "telephone_number": "218-751-6553",
            "fax_number": "218-751-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EARTH BAND OF CHIPPEWA INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "SYVERSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "218-755-7146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Earth Family Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogema, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.