White Earth Mental Health Program

LBN: White Earth Band Of Chippewa
White Earth Mental Health Program is an health care organization with primary practice located at 26246 Crane Rd , White Earth MN 56591-9998. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. White Earth Band Of Chippewa can be contacted via phone (218) 983-3286, or through Nathe, Amy via phone (218) 983-3286.

Contact Information

Primary practice address
26246 Crane Rd White Earth MN 56591-9998
Phone: (218) 983-3286
Fax: (218) 983-4236
Website:
Map and Directions
Authorized official contact:
Name: Nathe, Amy
Phone: (218) 983-3286

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 961994100 Minnesota
Agencies / Community/Behavioral Health 251S00000X 961994100 Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Minnesota
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X Minnesota

Profile Details

NPI number 1093898660
LBN Legal business name White Earth Band Of Chippewa
DBA Doing business as White Earth Mental Health Program
Authorized official Nathe, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 16th, 2015 - about 9 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 1093898660 NPPES
Minnesota MEDICAID 961994100

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