White Earth Elderly Nutrition

LBN: White Earth Band Of Chippewa
White Earth Elderly Nutrition is an health care organization with primary practice located at 26246 Crane Rd , White Earth MN 56591-9998. The organization recently has only one registered license in Suppliers / Home Delivered Meals, which is considered as the primary health care specialty. White Earth Band Of Chippewa can be contacted via phone (218) 983-3285, or through Thompson, Katherine via phone (218) 983-3285.

Contact Information

Primary practice address
26246 Crane Rd White Earth MN 56591-9998
Fax: (218) 983-4299
Website:
Authorized official contact:
Name: Thompson, Katherine

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X 293607100 Minnesota

Profile Details

NPI number 1710996566
LBN Legal business name White Earth Band Of Chippewa
DBA Doing business as White Earth Elderly Nutrition
Authorized official Thompson, Katherine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Dec 16th, 2021 - about 3 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 1710996566 NPPES
Minnesota MEDICAID 293607100

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