| Circle Back Center | |
|
35708 Co. Hwy. 21 Ogema MN 56569-9998 | |
| (218) 983-3285 | |
| (218) 983-3027 |
| Full Name | Circle Back Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 35708 Co. Hwy. 21, Ogema, Minnesota |
| Authorized Official Name and Position | Joe Tonihka (PROGRAM MANAGER) |
| Authorized Official Contact | 2189833285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Back Center 35708 Co. Hwy. 21 P.o. Box 418 White Earth MN 56591 Ph: (218) 983-3285 | Circle Back Center 35708 Co. Hwy. 21 Ogema MN 56569-9998 Ph: (218) 983-3285 |
| NPI Number | 1811245137 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811245137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0008 (Minnesota) | Primary |
White Earth Band Of Ojibwe - Indian Child Welfare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Feather Street, Ogema, MN 56569 Phone: 218-983-3011 Fax: 218-983-3002 |