White Earth Band of Ojibwe
Organization Active NPI Community/Behavioral Health Agency · Minneapolis, MN
NPI 1134575335 · NPPES record last updated May 6, 2016
Key facts
- NPI
- 1134575335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- WHITE EARTH BAND OF OJIBWE
- Practice address
- 1730 Clifton PL
B10
Minneapolis, MN 55403-3242 - Phone
- (763) 464-4137
- NPI assigned
- May 6, 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
Locations
1730 Clifton Pl
#B10
Minneapolis, MN 55403
Phone (763) 464-4137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1730 Clifton PL
B10
Minneapolis, MN 55403-3242
Mailing address
1730 Clifton PL
B10
Minneapolis, MN 55403-3242
Phone (763) 464-4137
Other names
- White Earth Urban MAT Program
Other providers in Minneapolis, MN
- Megan Whichello
- Amy Louise Whillock
- Whispers of Wellness Psychiatry PLLC
- Valerie Whitcomb
- White Earth Band of Ojibwe
- White Smiles Family Dentistry PLLC
- Amy Lary White
- Anne White
- Brent White
- Carole J White
All providers in Minneapolis, 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 May 6, 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.