| Anishinaabe Endaad Llc | |
|
424 2nd St Nw Mahnomen MN 56557-4316 | |
| (612) 208-6613 | |
| Not Available |
| Full Name | Anishinaabe Endaad Llc |
|---|---|
| Speciality | Case Management |
| Location | 424 2nd St Nw, Mahnomen, Minnesota |
| Authorized Official Name and Position | Adam Fairbanks (PRINCIPAL) |
| Authorized Official Contact | 6122086613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anishinaabe Endaad Llc 3529 Zenith Ave N Robbinsdale MN 55422-2347 Ph: () - | Anishinaabe Endaad Llc 424 2nd St Nw Mahnomen MN 56557-4316 Ph: (612) 208-6613 |
| NPI Number | 1194490763 |
|---|---|
| Provider Enumeration Date | 08/14/2021 |
| Last Update Date | 08/14/2021 |
| Certification Date | 08/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194490763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
White Earth Band Of Ojibwe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 Workforce Center Road, Mahnomen, MN 56557 Phone: 218-936-2442 |