| NPI | 1073530150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CHAVERS Tribal Chairman 218-757-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251B00000X Case Management | |
| 332U00000X Home Delivered Meals | |
| 385H00000X Respite Care | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-05-19 |