NPIMap

Organization Active NPI

Mille Lacs Band of Ojibwe Indians

  • Community/Behavioral Health Agency
  • Hinckley, MN
National Provider Identifier
1104053669
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Practice address
502 Weber Avenue, Suite 201
Hinckley, MN 55037-6410
Phone
(320) 384-6696
Fax
(320) 384-0020
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Nicole Anderson
Title
Commissioner of Health & Human Serv
Phone
(320) 532-4163

Specialties & licenses 1

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

Addresses

Primary practice location

502 Weber Avenue, Suite 201
Hinckley, MN 55037-6410

Mailing address

18562 Minobimaadizi Loop
Onamia, MN 56359-3001
Phone (320) 532-4163

Other names 1

  • Hinckley DIII Alcohol & Drug Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mille Lacs Band of Ojibwe Indians16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1104053669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-532-4163",
            "fax_number": "320-532-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WEBER AVENUE, SUITE 201",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550376410",
            "telephone_number": "320-384-6696",
            "fax_number": "320-384-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLE LACS BAND OF OJIBWE INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COMMISSIONER OF HEALTH & HUMAN SERV",
        "authorized_official_telephone_number": "320-532-4163"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hinckley DIII Alcohol & Drug Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinckley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.