WHITE EARTH BAND OF CHIPPEWA (NPI# 1558463877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558463877 |
| Entity Type | Organization |
| Organization Name | WHITE EARTH BAND OF CHIPPEWA |
| Other Organization Name | WHITE EARTH WOMENS WELBRITY CENTER |
| Practice Address |
2388 State Hwy 200 Mahnomen MN 56557 |
| Mailing Address |
Po Box 359 Mahnomen MN 56557-0359 |
| Practice Telephone | 2189365653 |
| Practice Fax Number | 2189365655 |
| Mailing Telephone | 2189365653 |
| Mailing Fax Number | 2189365655 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA MORAN (CHEMICAL DEPENDENCY COORDINATOR) |
| Authorized Official Telephone | 2189833285 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| White Earth Womens Welbrity Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447353883 | White Earth Band of Chippewa | Clinic/Center | 35708 Cty Hwy 21, White Earth, MN 56591 | 2006-09-07 |
| 1780787978 | White Earth Band of Chippewa | Case Management | 2531 310th Ave, Naytahwaush, MN 56566-9998 | 2006-09-06 |
| 1174944110 | White Earth Band of Chippewa | Clinic/Center | 26246 Crane Rd, White Earth, MN 56591-9998 | 2013-12-18 |
| 1093898660 | White Earth Band of Chippewa | Case Management | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-10-24 |
| 1396848560 | White Earth Band of Chippewa | Clinic/Center | 25519 State Highway 224, Ogema, MN 56569-9506 | 2006-09-06 |
| 1033129556 | White Earth Band of Chippewa | Ambulance | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-08-08 |
| 1851301378 | White Earth Band of Chippewa | Clinic/Center | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-08-08 |
| 1710996566 | White Earth Band of Chippewa | Home Delivered Meals | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-08-07 |
| 1649295502 | White Earth Band of Chippewa | Home Health | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-07-13 |
| Street Address |
2388 STATE HWY 200 |
| City | MAHNOMEN |
| State | MN |
| Zip Code | 56557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755166 | Elizabeth Marie Engum | Nurse Practitioner | 410 North 4th Street, Mahnomen, MN 56557 | 2018-10-01 |
| 1184127474 | Anne Huschle | Health Educator | 785 Us Highway 59, Mahnomen, MN 56557 | 2018-03-13 |
| 1780120857 | Nicole Dyrdahl | Pharmacist | 211 South Main St, Mahnomen, MN 56557 | 2017-01-13 |
| 1417316902 | White Earth Band of Ojibwe | Community/Behavioral Health | 2515 Workforce Center Road, Mahnomen, MN 56557 | 2016-02-12 |
| 1114337268 | Mahnomen Area Assisted Living Center Inc | Assisted Living Facility | 314 West Jefferson Ave, Mahnomen, MN 56557 | 2014-04-29 |
| 1073955043 | Vanessa Diramos Gil | Student in an Organized Health Care Education/Training Program | 410 W 4th Street, Mahnomen, MN 56557 | 2013-07-19 |
| 1588746465 | Mahnomen Isd #432 | Local Education Agency (LEA) | 209 1st St Sw, Mahnomen, MN 56557 | 2006-10-19 |
| 1992346373 | Brenda Geray | Registered Nurse | 211 S Main St, Mahnomen, MN 56557 | 2019-10-07 |
| 1871683714 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 211 South Main Street, Mahnomen, MN 56557 | 2006-10-13 |
| 1700093242 | David John Mittet | Chiropractor | 120 South Main Street, Mahnomen, MN 56557-0121 | 2007-05-16 |
| Find all providers in zip 56557 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467862334 | White Earth Band of Chippwa Indians | Substance Abuse Rehabilitation Facility | 2388 State Highway 200, Mahnomen, MN 56557-9370 | 2014-05-01 |
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|---|---|---|---|---|
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| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.