White Earth Tribal Mental Health

Organization Active NPI Community/Behavioral Health Agency · White Earth, MN

NPI 1811169337 · NPPES record last updated Mar 25, 2008

Key facts

NPI
1811169337
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
3181 (ND)
Legal business name
WHITE EARTH TRIBAL MENTAL HEALTH
Practice address
35686 County Hwy 21
White Earth, MN 56591-0300
Phone
(218) 983-3285
Fax
(218) 983-4236
NPI assigned
Mar 25, 2008
Organization subpart
Yes
Parent organization (as reported)
WHITE EARTH TRIBAL HEALTH DEPARETMEN

Authorized official

Name
Joellen Anywaush
Title
Health Director
Phone
(218) 983-3285

Corporate family (same tax ID) 25

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 3181 ND Yes

Addresses

Primary practice location

35686 County Hwy 21
White Earth, MN 56591-0300

Mailing address

35686 County Hwy. 21
White Earth, MN 56591-0300
Phone (218) 983-3285

Other providers in White Earth, MN

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

Sources for this page

Verify at the official NPI Registry.