Organization Active NPI

White Earth Tribal Health Systems

Doing business as Naytahwaush Health Center

  • Clinic/Center
  • Mahnomen, MN
National Provider Identifier
1407760374
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WHITE EARTH TRIBAL HEALTH SYSTEMS
Doing business as
Naytahwaush Health Center
Practice address
2471 310TH Ave
Mahnomen, MN 56557-9393
Phone
(218) 935-2238
Fax
(218) 572-4231
NPI assigned
Sep 29, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE EARTH BAND OF CHIPPEWA INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Tracy Lhotka
Title
Cfo
Phone
(218) 983-4645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2471 310TH Ave
Mahnomen, MN 56557-9393

Mailing address

2471 310TH Ave
Mahnomen, MN 56557-9393
Phone (218) 935-2238

Other names 1

  • Naytahwaush Health Center Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1407760374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 310TH AVE",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565579393",
            "telephone_number": "218-935-2238",
            "fax_number": "218-572-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 310TH AVE",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565579393",
            "telephone_number": "218-935-2238",
            "fax_number": "218-572-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE EARTH TRIBAL HEALTH SYSTEMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE EARTH BAND OF CHIPPEWA INDIANS",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "LHOTKA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-983-4645"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naytahwaush Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mahnomen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.