NPI 1649270901
Bois Forte Reservation Tribal Council
Practice location
- Address
- 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772
- Phone
- (218) 757-3295
- Fax
- (218) 757-0234
- Mailing address
- 5219 St John Drive, Nett Lake, MN 55772-8232
Authorised official
- Name
- Lynette Tahtinen
- Title
- Data & Finance Specialist
- Phone
- (218) 757-3295
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1649270901
- Entity type
- Organization
- NPI issued
- 28 Jul 2005
- Record last updated
- 16 May 2018
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.