NPI 1073530150

Bois Forte Reservation Tribal Government

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Nett Lake, MN

Practice location

Address: 5219 St. John Dr, Nett Lake, MN 55772
Phone: (218) 757-3650
Mailing address: 5219 Saint John Dr, Orr, MN 55771-8232

Authorised official

Name: Catherine Chavers
Title: Tribal Chairman
Phone: (218) 757-3361

Registered specialties (5)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary

Suppliers Taxonomy 332800000X

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Home Delivered Meals

Suppliers Taxonomy 332U00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1073530150
Entity type: Organization
NPI issued: 16 Jul 2006
Record last updated: 19 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.