Northwest Indian Community Development Center Aka Northwest Indian Oic

LBN: Northwest Indian Community Development Center
Northwest Indian Community Development Center Aka Northwest Indian Oic is an health care organization with primary practice located at 1819 Bemidji Ave N Ste 1 , Bemidji MN 56601. The organization recently has 7 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Northwest Indian Community Development Center can be contacted via phone (218) 759-2022, or through Conn, Rhonda G via phone (218) 759-2022.

Contact Information

Primary practice address
1819 Bemidji Ave N Ste 1 Bemidji MN 56601
Phone: (218) 759-2022
Fax: (218) 759-0090
Website:
Map and Directions
Authorized official contact:
Name: Conn, Rhonda G
Phone: (218) 759-2022

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1144686106
LBN Legal business name Northwest Indian Community Development Center
DBA Doing business as Northwest Indian Community Development Center Aka Northwest Indian Oic
Authorized official Conn, Rhonda G
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2016
Last updated Mar 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144686106 NPPES
Minnesota MEDICAID 172V00000X
Minnesota MEDICAID 3747P1801X
Minnesota MEDICAID 163WH0200X
Minnesota MEDICAID 374U00000X

Popular Providers