White Earth Band Of Chippewa in White Earth - Podiatric

White Earth Band Of Chippewa - NPI 1851301378

White Earth Band Of Chippewa is a Podiatric in White Earth, Minnesota. White Earth Band Of Chippewa practices all healthcare services and medical treatments related to Podiatric. The NPI Number for White Earth Band Of Chippewa is 1851301378. The last update date is 2020-08-22.

White Earth Band Of Chippewa's current location address is Po Box 418, White Earth, Minnesota. You can contact this provider via phone number 2189833285 and fax number 2189834299. The mailing address for White Earth Band Of Chippewa is Po Box 418, White Earth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization White Earth Band Of Chippewa
Address Po Box 418, White Earth, Minnesota
Phone Number 2189833285
Fax Number 2189834299
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIABETES P
Authorized Official Name Fox Monte
Credentials EP
Telephone Number 2189833285

NPI Number Detail

NPI Number 1851301378
Provider Enumeration Date 2006-08-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 418
City White Earth
State Minnesota (MN)
Post Code 565910418
Phone Number 2189833285
Fax Number 2189834299

Provider's Primary Taxonomy Detail

Speciality Podiatric
Taxonomy 261Qp1100X
Definition:
Provides conservative and surgical foot and ankle care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
464M3WH MN BCBS OF MN & CCS TPA

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FAQs about White Earth Band Of Chippewa

What is the unique identification code assigned to White Earth Band Of Chippewa by the Centers for Medicare & Medicaid Services?

The White Earth Band Of Chippewa has been issued the NPI (National Provider Identifier) 1851301378. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where White Earth Band Of Chippewa's facilities are geographically located?

The facilities of White Earth Band Of Chippewa are physically situated at the following location: Po Box 418, White Earth, MN, 565910418.

What is White Earth Band Of Chippewa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for White Earth Band Of Chippewa is Podiatric, and the corresponding taxonomy classification code for this specialized field is 261Qp1100X.

On what date did the White Earth Band Of Chippewa receive its 1851301378 assignment from the Centers for Medicare & Medicaid Services?

The White Earth Band Of Chippewa was assigned its 1851301378 by the Centers for Medicare & Medicaid Services on 2006-08-08.

As of what date were the details related to White Earth Band Of Chippewa most recently updated or revised?

The information pertaining to White Earth Band Of Chippewa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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