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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Lynette Willeto Wasson, PHARM.D
- Brianna Nancy Watland, RN
- Monica Sue Wenschlag, DNP
- Melissa Lyn Wentz Opsahl, PHARMD, NCPS
- White Earth Band of Chippewa (White Earth Therapy Services)
- White Earth Band of Ojibwe - Indian Child Welfare
- White Earth Health Center
- White Earth Health Center
- White Earth Healthcare Center
- White Earth Indian Health Center (White Earth Health Center)
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.