WHITE EARTH BAND OF CHIPPEWA (NPI# 1851301378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851301378 |
| Entity Type | Organization |
| Organization Name | WHITE EARTH BAND OF CHIPPEWA |
| Other Organization Name | WHITE EARTH DIABETES PROJECT |
| Practice Address |
26246 Crane Rd White Earth MN 56591-9998 |
| Mailing Address |
Po Box 418 White Earth MN 56591-0418 |
| Practice Telephone | 2189833285 |
| Practice Fax Number | 2189834299 |
| Mailing Telephone | 2189833285 |
| Mailing Fax Number | 2189834299 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MONTE FOX (DIABETES PROJECT MANAGER) |
| Authorized Official Telephone | 2189833285 |
| Authorized Official Credential | EP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS OF MN & CCS TPA | 464M3WH | 01 |
| Other Name | Type Code |
|---|---|
| White Earth Diabetes Project | Other Name - Individual/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 |
| 1558463877 | White Earth Band of Chippewa | Substance Abuse Rehabilitation Facility | 2388 State Hwy 200, Mahnomen, MN 56557 | 2006-09-05 |
| 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 |
| 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 |
26246 CRANE RD |
| City | WHITE EARTH |
| State | MN |
| Zip Code | 56591-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005653 | Carson T Gardner | Family Medicine | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-04-28 |
| 1750999488 | Katie Lynn Hoban | Dietitian, Registered | 26246 Crane Rd, White Earth, MN 56591-9998 | 2020-07-20 |
| 1487161972 | Shannon Mary Jaakola Smith | Marriage & Family Therapist | 26246 Crane Rd, White Earth, MN 56591-9998 | 2018-01-05 |
| 1144752056 | Grant Justin Atwood | Counselor | 26246 Crane Rd, White Earth, MN 56591-9998 | 2017-03-30 |
| 1710422779 | Kristin Petersen | Social Worker | 26246 Crane Rd, White Earth, MN 56591-9998 | 2016-12-30 |
| 1215382320 | Sean Simpson | Social Worker | 26246 Crane Rd, White Earth, MN 56591-9998 | 2016-04-26 |
| 1073972048 | White Earth Band of Ojibwe | Community/Behavioral Health | 26246 Crane Rd, White Earth, MN 56591-9998 | 2016-02-18 |
| 1366832628 | Diane Mcarthur | Dietitian, Registered | 26246 Crane Rd, White Earth, MN 56591-9998 | 2015-01-26 |
| 1174944110 | White Earth Band of Chippewa | Clinic/Center | 26246 Crane Rd, White Earth, MN 56591-9998 | 2013-12-18 |
| 1255617684 | Sarah Jane Jasken | Social Worker | 26246 Crane Rd, White Earth, MN 56591-9998 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033597216 | White Earth Band of Chippewa Indians | Counselor | 35233 Mission Lake Road, White Earth, MN 56591 | 2015-05-08 |
| 1225359722 | Barbara J. Chromy | Counselor | 26246 Crane Road, White Earth Tribal Mental Health, White Earth, MN 56591 | 2010-06-18 |
| 1467600452 | Justin Douglas Mcdonald | Psychologist | White Earth Mental Health, 26246 Crane Rd, White Earth, MN 56591 | 2008-09-03 |
| 1447353883 | White Earth Band of Chippewa | Clinic/Center | 35708 Cty Hwy 21, White Earth, MN 56591 | 2006-09-07 |
| 1578571410 | Willy Ann Heisler | Student in an Organized Health Care Education/Training Program | 36510 County Rd 21, White Earth, MN 56591 | 2006-08-04 |
| 1275908709 | Kandi Burr-fisher | Psychologist | 26246 Crane Road, White Earth, MN 56591 | 2015-12-09 |
| 1003052192 | White Earth Band of Chippewa Indians | Clinic/Center | 36510 County Rd 21, White Earth, MN 56591 | 2008-12-19 |
| 1811169337 | White Earth Tribal Mental Health | Community/Behavioral Health | 35686 County Hwy 21, White Earth, MN 56591-0300 | 2008-03-25 |
| 1881883890 | Angela Marie Bellanger | Social Worker | 35686 County Highway 21, White Earth, MN 56591-0300 | 2007-10-16 |
| 1578715736 | James M. Schmitt | Social Worker | 35686 County Highway 21, White Earth, MN 56591-0300 | 2008-10-21 |
| Find all providers in zip 56591 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
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| 1295920106 | Bfs Pa | Clinic/Center | 105 Center Dr, Buffalo, MN 55313-2956 | 2007-09-13 |
| 1659777290 | White Bear Foot and Ankle Clinic, Inc. | Clinic/Center | 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2014-11-10 |
| 1750686747 | Active Feet LLC | Clinic/Center | 7250 France Ave S, Suite 415, Edina, MN 55435-4305 | 2011-01-21 |
| 1942484472 | Darren R. Cowl Dpm LLC | Clinic/Center | 65 Teton Ln, Mankato, MN 56001-4814 | 2007-12-19 |
| 1861675159 | Rochester Clinic Plc | Clinic/Center | 3070 Wellner Dr Ne, Rochester, MN 55906-8427 | 2007-12-10 |
| 1083675458 | St Cloud Foot & Ankle Center Pa | Clinic/Center | 106 Doctors Park, St Cloud, MN 56303-1207 | 2006-03-28 |
| City | WHITE EARTH |
| Zip Code | 56591 |
Please comment or provide details below to improve the information on WHITE EARTH BAND OF CHIPPEWA.
| 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.