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Organization
NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER
Active
Organization
NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER
Active
Other names
Northwest Indian Community Development Center aka Northwest Indian OIC, Northwest Indian Community Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA G CONN (DIRECTOR OF OPERATIONS AND FINANCE)
(218) 759-2022
Entity
Organization
Contact information
Practice address
1819 BEMIDJI AVE N STE 1, BEMIDJI, MN 56601
(218) 759-2022
(218) 759-0090
Mailing address
1819 BEMIDJI AVE N STE 1, BEMIDJI, MN 56601-3874
(218) 759-2022
(218) 759-0090
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
Other
Enumeration date
01/06/2016
Last updated
03/10/2022
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