| White Earth Band Of Ojibwe | |
|
2515 Workforce Center Road Mahnomen MN 56557 | |
| (218) 936-2442 | |
| Not Available |
| Full Name | White Earth Band Of Ojibwe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2515 Workforce Center Road, Mahnomen, Minnesota |
| Authorized Official Name and Position | Jeri Jasken (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2189834647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Earth Band Of Ojibwe Po Box 70 Naytahwaush MN 56566-0070 Ph: (218) 936-2442 | White Earth Band Of Ojibwe 2515 Workforce Center Road Mahnomen MN 56557 Ph: (218) 936-2442 |
| NPI Number | 1417316902 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417316902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Anishinaabe Endaad Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 2nd St Nw, Mahnomen, MN 56557 Phone: 612-208-6613 |