NPIMap

Organization Active NPI

White Earth Band of Ojibwe

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1053772046
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WHITE EARTH BAND OF OJIBWE
Practice address
1730 Clifton PL
Minneapolis, MN 55403-3242
Phone
(763) 464-4137
NPI assigned
Mar 17, 2016
Organization subpart
Yes
Parent organization
WHITE EARTH BAND OF OJIBWEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Jeri Jasken
Title
Behavioral Health Director
Phone
(218) 983-4647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1730 Clifton PL
Minneapolis, MN 55403-3242

Mailing address

1730 Clifton PL
Minneapolis, MN 55403-3242
Phone (763) 464-4137

Other names 1

  • Urban MOMS Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
White Earth Oshki Manidoo New Spirit Center26 organizations share this tax ID, including this one
Part of
White Earth Oshki Manidoo New Spirit Center

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

1730 Clifton Pl
Minneapolis, MN 55403
Phone 6128131581 ext. 6649

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1053772046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 CLIFTON PL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033242",
            "telephone_number": "763-464-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 CLIFTON PL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033242",
            "telephone_number": "763-464-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EARTH BAND OF OJIBWE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE EARTH BAND OF OJIBWE",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "JASKEN",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "218-983-4647"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban MOMS Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.