Organization
WHITE EARTH BAND OF CHIPPEWA
Active
Parent organization
WHITE EARTH BAND OF CHIPPEWA
Other names
White Earth Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE EARTH BAND OF CHIPPEWA
Authorized official
ERMA VIZENOR (TRIBAL CHAIRWOMAN)
(218) 983-3286
Entity
Organization
Contact information
Practice address
26246 CRANE RD, WHITE EARTH, MN 56591-9998
(218) 983-3286
Mailing address
PO BOX 327, 26246 CRANE RD, WHITE EARTH, MN 56591-0327
(218) 983-3286
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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