# WHITE EARTH HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194975136
- **Authorized official:** MISS SARA INGRID HUSBY COTA/L (COTA/L)
- **Authorized official phone:** (218) 983-4300

## Contact information

- **Practice address:** 40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
- **Practice address phone:** (218) 983-6200
- **Mailing address:** 28920 COUNTY ROAD 110, CALLAWAY, MN 56521-9642
- **Mailing address phone:** (218) 375-2115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 10147 | FL | — |
| 261QR0400X | Rehabilitation Clinic/Center | 201299 | MN | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | 3661 | AZ | — |

## Other

- **Enumeration date:** 09/26/2008
- **Last updated:** 09/26/2008