NPIMap

Organization Active NPI

Bois Forte Human Services

  • Social Worker
  • Nett Lake, MN
National Provider Identifier
1528288073
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BOIS FORTE HUMAN SERVICES
Practice address
13090 Westley Drive
Suite B
Nett Lake, MN 55772
Phone
(218) 757-0111
Fax
(218) 757-0109
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Trudy Lynn King
Title
Billing Clerk
Phone
(218) 757-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X MN Primary

Addresses

Primary practice location

13090 Westley Drive
Suite B
Nett Lake, MN 55772

Mailing address

13090 Westley Drive
Suite B
Nett Lake, MN 55772
Phone (218) 757-0111

National Provider Directory

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

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528288073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 WESTLEY DRIVE",
            "address_2": "SUITE B",
            "city": "NETT LAKE",
            "state": "MN",
            "postal_code": "55772",
            "telephone_number": "218-757-0111",
            "fax_number": "218-757-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 WESTLEY DRIVE",
            "address_2": "SUITE B",
            "city": "NETT LAKE",
            "state": "MN",
            "postal_code": "55772",
            "telephone_number": "218-757-0111",
            "fax_number": "218-757-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOIS FORTE HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "218-757-0111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.