| Northwest Indian Community Development Center | |
|
1819 Bemidji Ave N Ste 1 Bemidji MN 56601 | |
| (218) 759-2022 | |
| (218) 759-0090 |
| Full Name | Northwest Indian Community Development Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1819 Bemidji Ave N Ste 1, Bemidji, Minnesota |
| Authorized Official Name and Position | Rhonda G Conn (DIRECTOR OF OPERATIONS AND FINANCE) |
| Authorized Official Contact | 2187592022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Indian Community Development Center 1819 Bemidji Ave N Ste 1 Bemidji MN 56601-3874 Ph: (218) 759-2022 | Northwest Indian Community Development Center 1819 Bemidji Ave N Ste 1 Bemidji MN 56601 Ph: (218) 759-2022 |
| NPI Number | 1144686106 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144686106 | NPI | - | NPPES |
| 172V00000X | Medicaid | MN | |
| 3747P1801X | Medicaid | MN | |
| 163WH0200X | Medicaid | MN | |
| 374U00000X | Medicaid | MN |
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