| White Earth Fasd Program | |
|
26246 Crane Rd White Earth MN 56591-9998 | |
| (218) 983-3286 | |
| (218) 983-4308 |
| Full Name | White Earth Fasd Program |
|---|---|
| Speciality | Case Management |
| Location | 26246 Crane Rd, White Earth, Minnesota |
| Authorized Official Name and Position | Monte Fox (HEALTH DIRECTOR) |
| Authorized Official Contact | 2189833286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Earth Fasd Program Po Box 348 White Earth MN 56591-0348 Ph: (218) 983-3286 | White Earth Fasd Program 26246 Crane Rd White Earth MN 56591-9998 Ph: (218) 983-3286 |
| NPI Number | 1568790012 |
|---|---|
| Provider Enumeration Date | 11/20/2009 |
| Last Update Date | 03/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568790012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
White Earth Band Of Chippewa Indians Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35233 Mission Lake Road, White Earth, MN 56591 Phone: 218-983-4180 Fax: 218-983-3767 | |
White Earth Band Of Ojibwe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26246 Crane Rd, White Earth, MN 56591 Phone: 218-983-3285 Fax: 218-983-4343 | |
White Earth Tribal Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35686 County Hwy 21, White Earth, MN 56591 Phone: 218-983-3285 Fax: 218-983-4236 |