NPIMap

Organization Active NPI

White Earth Oshki Manidoo New Spirit Center

Doing business as Oshki Manidoo Center

  • Children's Substance Abuse Rehabilitation Facility
  • Bemidji, MN
National Provider Identifier
1194961276
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
1052679 Issued in MN
Legal business name
WHITE EARTH OSHKI MANIDOO NEW SPIRIT CENTER
Doing business as
Oshki Manidoo Center
Practice address
1741 15TH St NW
Bemidji, MN 56601-8755
Phone
(218) 751-6553
Fax
(218) 751-1846
NPI assigned
Dec 19, 2008
Last updated
Dec 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE EARTH RESERVATION TRIBAL COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Jill Elizabeth Hewitt, LMFT
Title
Director
Phone
(218) 751-6553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 1052679 MN Primary

Addresses

Primary practice location

1741 15TH St NW
Bemidji, MN 56601-8755

Mailing address

1741 15TH St NW
Bemidji, MN 56601-8755
Phone (218) 751-6553

Other names 1

  • Oshki Manidoo Center 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

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1194961276",
    "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": "218-751-6553",
            "fax_number": "218-751-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 15TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018755",
            "telephone_number": "218-751-6553",
            "fax_number": "218-751-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EARTH OSHKI MANIDOO NEW SPIRIT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE EARTH RESERVATION TRIBAL COUNCIL",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-751-6553",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MN",
            "license": "1052679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oshki Manidoo Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.