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Organization

DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS

Active
Other names
Cass Lake Indian Health Service
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER J JENKINS (CEO)
(218) 335-3200
Entity
Organization

Contact information

Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary

Other

Enumeration date
03/14/2007
Last updated
03/30/2022
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