Organization
WHITE EARTH HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SARA INGRID HUSBY COTA/L (COTA/L)
(218) 983-4300
Entity
Organization
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-6200
Mailing address
28920 COUNTY ROAD 110, CALLAWAY, MN 56521-9642
(218) 375-2115
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
10147
FL
261QR0400X
Rehabilitation Clinic/Center
Primary
201299
MN
261QR0400X
Rehabilitation Clinic/Center
3661
AZ
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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