MILLE LACS BAND OF OJIBWE INDIANS (NPI# 1982830493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982830493 |
| Entity Type | Organization |
| Organization Name | MILLE LACS BAND OF OJIBWE INDIANS |
| Other Organization Name | AAZHOOMOG ALCOHOL AND DRUG PROGRAM |
| Practice Address |
45741 Grace Lake Rd Sandstone MN 55072 |
| Mailing Address |
43500 Migizi Dr Onamia MN 56359-2241 |
| Practice Telephone | 3203840149 |
| Practice Fax Number | 3203840163 |
| Mailing Telephone | 3205324163 |
| Mailing Fax Number | 3205327495 |
| Enumeration Date | 2009-06-10 |
| 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 |
|---|---|
| Aazhoomog Alcohol and 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 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 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 |
| Street Address |
45741 GRACE LAKE RD |
| City | SANDSTONE |
| State | MN |
| Zip Code | 55072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679610026 | Donna Wilson | Licensed Practical Nurse | 45741 Grace Lake Rd, Sandstone, MN 55072-3203 | 2007-02-01 |
| 1255535399 | Patrica Elaine Curwick | Registered Nurse | 45741 Grace Lake Rd, Sandstone, MN 55072-3203 | 2007-06-13 |
| 1205975893 | Rebecca Thomas | Licensed Practical Nurse | 45741 Grace Lake Rd, Sandstone, MN 55072-3203 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034189 | Kc Companies of Sandstone Inc/sandstone Golden Horizons | Assisted Living Facility | 1109 Lundorff, Sandstone, MN 55072 | 2017-03-21 |
| 1124414032 | Sherri Lynn Anderson | Licensed Practical Nurse | 29916 Anderson Dr., Sandstone, MN 55072 | 2015-04-08 |
| 1346676541 | Sheila Ann Carr | Custodial Care Facility | 27295 Groningen Road, Sandstone, MN 55072 | 2013-09-19 |
| 1043497662 | Lori J Dougherty | Technician | 119 Fouth St., Sandstone, MN 55072 | 2008-01-25 |
| 1215114830 | Cindy Kuhlman | Technician | 119 Fourth St., Sandstone, FM 55072 | 2008-01-25 |
| 1699951590 | Reta Joyce Diedrich | Registered Nurse | 119 4th St., Sandstone, MN 55072 | 2008-01-10 |
| 1134303381 | Deedree Ann Ludwig | Community Health Worker | 119 4th. St., Sandstone, MN 55072 | 2007-12-24 |
| 1043494297 | Minnie Mae Delaney | Community Health Worker | 119 4th Street, Sandstone, MN 55072 | 2007-12-24 |
| 1710068838 | Chris A Ketchmark | Chiropractor | 301 N Commercial Ave, Sandstone, MN 55072 | 2006-10-17 |
| 1326041633 | Pine Medical Center | General Acute Care Hospital | 705 Lundorff Drive South, Sandstone, MN 55072 | 2005-05-31 |
| Find all providers in zip 55072 | ||||
| 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 |
|---|---|---|---|---|
| 1659754240 | Yaekel-black Elk Counseling & Consulting | Community/Behavioral Health | 49659 State Line Rd, Sandstone, MN 55072-3032 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
| 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.