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Organization
BOIS FORTE RESERVATION TRIBAL COUNCIL
Active
Organization
BOIS FORTE RESERVATION TRIBAL COUNCIL
Active
Other names
Bois Forte Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE TAHTINEN CPCS (DATA & FINANCE SPECIALIST)
(218) 757-3295
Entity
Organization
Contact information
Practice address
13071 NETT LAKE ROAD, SUITE B, NETT LAKE, MN 55772
(218) 757-3295
(218) 757-0234
Mailing address
5219 ST JOHN DRIVE, NETT LAKE, MN 55772-8232
(218) 757-3295
(218) 757-0235
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
251S00000X-COMMUNITY
MN
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
07/28/2005
Last updated
05/16/2018
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