MILLE LACS BAND OF OJIBWE INDIANS (NPI# 1831388909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831388909 |
| Entity Type | Organization |
| Organization Name | MILLE LACS BAND OF OJIBWE INDIANS |
| Other Organization Name | MILLE LACS OUTPATIENT ALCOHOL & DRUG PROGRAM |
| Practice Address |
42293 Twilight Rd Onamia MN 56359 |
| Mailing Address |
43500 Migizi Dr Onamia MN 56359-2241 |
| Practice Telephone | 3205325292 |
| Mailing Telephone | 3205324163 |
| Mailing Fax Number | 3205327495 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | NICOLE ANDERSON (COMMISSIONER OF HEALTH & HUMAN SERV) |
| Authorized Official Telephone | 3205324163 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLE LACS BAND OF OJIBWE INDIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ========= | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Mille Lacs Outpatient Alcohol & Drug Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104053669 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 502 Weber Avenue, Suite 201, Hinckley, MN 55037-6410 | 2009-06-11 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831385509 | Mille Lacs Band of Ojibwe Indians | Clinic/Center | 45741 Grace Lake Road, Sandstone, MN 55072-3203 | 2007-09-17 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1104996867 | Mille Lacs Band of Ojibwe Indians | Clinic/Center | 18562 Minobimaadizi Loop, Onamia, MN 56359-2241 | 2006-11-09 |
| 1699390518 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 18562 Minobimaadizi Loop, Onamia, MN 56359 | 2020-06-16 |
| 1831624857 | Mille Lacs Band of Ojibwe Indians | Clinic/Center | 43500 Migizi Dr, Onamia, MN 56359 | 2017-04-27 |
| 1285186007 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 11600 State Ave, Brainerd, MN 56401 | 2016-10-27 |
| 1407223035 | Mille Lacs Band of Ojibwe Indians | Home Delivered Meals | 18562 Minobimaadizi Loop, Onamia, MN 56359-3001 | 2015-08-31 |
| 1164659652 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 36666 State Highway 65, Mcgregor, MN 55760 | 2009-06-11 |
| Street Address |
42293 TWILIGHT RD |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| 1699390518 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 18562 Minobimaadizi Loop, Onamia, MN 56359 | 2020-06-16 |
| Find all providers in zip 56359 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390518 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 18562 Minobimaadizi Loop, Onamia, MN 56359 | 2020-06-16 |
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| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
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| 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.