Bois Forte Reservation Tribal Government

LBN: Bois Forte Reservation Tribal Government
Bois Forte Reservation Tribal Government is an health care organization with primary practice located at 5219 St. John Dr , Nett Lake MN 55772. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / Case Management, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Home Delivered Meals, Respite Care Facility / Respite Care. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Bois Forte Reservation Tribal Government can be contacted via phone (218) 757-3650, or through Chavers, Catherine via phone (218) 757-3361.

Contact Information

Primary practice address
5219 St. John Dr Nett Lake MN 55772
Phone: (218) 757-3650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chavers, Catherine
Phone: (218) 757-3361

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Agencies / Case Management 251B00000X
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Home Delivered Meals 332U00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1073530150
LBN Legal business name Bois Forte Reservation Tribal Government
DBA Doing business as
Authorized official Chavers, Catherine
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated May 19th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073530150 NPPES
Minnesota MEDICAID 177515400
Minnesota Other 63G35BO

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