Organization
WHITE EARTH BAND OF CHIPPEWA
Active
Other names
White Earth Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A BUTLER RN, BSN, PHN (PHN-MANAGER)
(218) 983-3285
Entity
Organization
Contact information
Practice address
26246 CRANE RD, WHITE EARTH, MN 56591-9998
(218) 983-3285
(218) 983-3742
Mailing address
PO BOX 496, 26246 CRANE RD, WHITE EARTH, MN 56591-0496
(218) 983-3285
(218) 983-3724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
330865
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151255200,727667200
—
MN
05
—
151255201
—
MN
01
—
5900118
MEDICA
MN
01
—
8297WH
BCBS OF MN
MN
Enumeration date
07/13/2006
Last updated
07/28/2010
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