White Earth Band of Ojibwe
Organization Active NPI Community/Behavioral Health Agency · White Earth, MN
NPI 1073972048 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1073972048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- WHITE EARTH BAND OF OJIBWE
- Practice address
- 26246 Crane Rd
White Earth, MN 56591-9998 - Phone
- (218) 983-3285
- Fax
- (218) 983-4343
- NPI assigned
- Feb 18, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- WHITE EARTH BAND OF OJIBWE
Authorized official
- Name
- Jeri Jasken
- Title
- Behavioral Health Director
- Phone
- (218) 983-4647
Corporate family (same tax ID) 25
National Provider Directory
- Tax ID family
- White Earth Oshki Manidoo New Spirit Center
- Part of
- White Earth Oshki Manidoo New Spirit Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
26246 Crane Rd
White Earth, MN 56591-9998
Mailing address
26246 Crane Rd
White Earth, MN 56591-9998
Phone (218) 983-3285
Other names
- White Earth MAT Program
Other providers in White Earth, MN
- White Earth Band of Chippewa
- White Earth Band of Chippewa
- White Earth Band of Chippewa
- White Earth Band of Chippewa Indians
- White Earth Band of Chippewa Indians
- White Earth Fasd Program
- White Earth Tribal Mental Health
All providers in White Earth, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.