Active NPI
White Earth Health Center
- Non-emergency Medical Transport (VAN)
- Ogema, MN
National Provider Identifier
1598911893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- WHITE EARTH HEALTH CENTER
- Practice address
- 40520 County Highway 34
Ogema, MN 56569-9612 - Phone
- (218) 983-4300
- Fax
- (218) 983-6217
- NPI assigned
- Aug 18, 2008
- Organization subpart
- Yes
- Parent organization
- WHITE EARTH INDIAN HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leeann Marie Thorson
- Title
- Acting Deputy Ceo
- Phone
- (218) 983-6303
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Federal Public Health Clinic/Center | 261QP0904X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
40520 County Highway 34
Ogema, MN 56569-9612
Mailing address
40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300
Other names 1
- White Earth Indian Health Service
National Provider Directory
National Provider Directory- Tax ID family
- White Earth Indian Health Center
- Part of
- White Earth Indian Health Center
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Ogema, MN
- NPI 1205042728
-
- Durable Medical Equipment & Medical Supplies
- Ponsford, MN
- NPI 1275748543
-
- Durable Medical Equipment & Medical Supplies
- Naytahwaush, MN
- NPI 1427263706
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ogema, MN
- NPI 1922024876
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba White Earth Health Center
- Federal Public Health Clinic/Center
- Ogema, MN
- NPI 1093761710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1598911893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "565699612",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6217"
},
{
"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": "218-983-4300",
"fax_number": "218-983-6217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE EARTH HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITE EARTH INDIAN HEALTH CENTER",
"enumeration_date": "2008-08-18",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "THORSON",
"authorized_official_first_name": "LEEANN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ACTING DEPUTY CEO",
"authorized_official_telephone_number": "218-983-6303"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0904X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, Federal",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "White Earth Indian Health Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ogema, MN
- Melissa Lyn Wentz Opsahl, PHARMD, NCPS
- 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 Healthcare Center
- White Earth Indian Health Center (White Earth Health Center)
- White Earth Indian Health Center Pharmacy
- Matthew E White, PHARMD
- Nicholas R Williams, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.