| NPI | 1750498218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CHAVERS Tribal Chairman 218-757-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 341600000X Ambulance (Licence: MN 0328) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-05-16 |