White Earth Band of Ojibwe

Organization Active NPI Community/Behavioral Health Agency · Naytahwaush, MN

NPI 1346604246 · NPPES record last updated Apr 7, 2016

Key facts

NPI
1346604246
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
WHITE EARTH BAND OF OJIBWE
Practice address
2531 310TH Ave
Naytahwaush, MN 56566-9998
Phone
(218) 983-3285
NPI assigned
Apr 7, 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

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

National Provider Directory

Tax ID family
White Earth Oshki Manidoo New Spirit Center (26 organizations share this tax ID)
Part of
White Earth Oshki Manidoo New Spirit Center

Specialties & licenses

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

Addresses

Primary practice location

2531 310TH Ave
Naytahwaush, MN 56566-9998

Mailing address

2531 310TH Ave
Naytahwaush, MN 56566-9998

Other names

  • Naytahwaush MAT Program Doing business as

Other providers in Naytahwaush, MN

All providers in Naytahwaush, MN · Community/Behavioral Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.