NPIMap

Organization Active NPI

Bois Forte Reservation Tribal Council

Doing business as Big Woods Transit

  • Non-emergency Medical Transport (VAN)
  • Nett Lake, MN
National Provider Identifier
1255815387
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BOIS FORTE RESERVATION TRIBAL COUNCIL
Doing business as
Big Woods Transit
Practice address
5344 Lake Shore Dr
Nett Lake, MN 55772-1200
Phone
(218) 757-3261
NPI assigned
Sep 25, 2018
Organization subpart
Yes
Parent organization
BOIS FORTE RESERVATION TRIBAL COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Lynette Tahtinen, CPCS
Title
Business Manager
Phone
(218) 757-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5344 Lake Shore Dr
Nett Lake, MN 55772-1200

Mailing address

5344 Lake Shore Dr
Nett Lake, MN 55772-1200
Phone (218) 757-3261

Other names 1

  • Big Woods Transit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bois Forte Human Services9 organizations share this tax ID, including this one
Part of
Bois Forte Human Services

Other organizations with this tax ID 8

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

Locations

5344 Lake Shore Dr
Nett Lake, MN 55772
Phone (218) 757-3261

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1255815387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 LAKE SHORE DR",
            "city": "NETT LAKE",
            "state": "MN",
            "postal_code": "557721200",
            "telephone_number": "218-757-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5344 LAKE SHORE DR",
            "city": "NETT LAKE",
            "state": "MN",
            "postal_code": "557721200",
            "telephone_number": "218-757-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOIS FORTE RESERVATION TRIBAL COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOIS FORTE RESERVATION TRIBAL COUNCIL",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "TAHTINEN",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "218-757-3650",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Woods Transit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nett Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.