White Earth Healthcare Center

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

201299 Issued in MN

Legal business name

WHITE EARTH HEALTHCARE CENTER

Practice address

40520 County Highway 34
Ogema, MN 56569-9612

Phone

(218) 983-6200

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Miss Sara Ingrid Husby, COTA/L

Title

Cota/L

Phone

(218) 983-4300

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1194975136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28920 COUNTY ROAD 110",
            "city": "CALLAWAY",
            "state": "MN",
            "postal_code": "565219642",
            "telephone_number": "218-375-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EARTH HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "HUSBY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "INGRID",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "218-983-4300",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MN",
            "license": "201299",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "10147",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": "3661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Earth Band of Chippewa (White Earth Therapy Services)
• White Earth Band of Chippewa Indians (White Earth Family Treatment)
• White Earth Band of Ojibwe - Indian Child Welfare
• White Earth Health Center
• White Earth Health Center
• White Earth Indian Health Center (White Earth Health Center)
• White Earth Indian Health Center Pharmacy
• Matthew E White, PHARMD
• Nicholas R Williams, DPM
• Yvette Ann Woodard, DDS

• Rehabilitation Clinic/Center in Ogema, MN
• Providers in Ogema, MN by specialty
• Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.