NPI 1174944110

White Earth Band of Chippewa

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center White Earth, MN

Practice location

Address: 26246 Crane Rd, White Earth, MN 56591-9998
Phone: (218) 983-3286
Mailing address: PO Box 327 26246 Crane Rd, White Earth, MN 56591-0327

Authorised official

Name: Erma Vizenor
Title: Tribal Chairwoman
Phone: (218) 983-3286

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1174944110
Entity type: Organization
NPI issued: 18 Dec 2013
Record last updated: 18 Dec 2013

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.