Organization
MILLE LACS BAND OF OJIBWE INDIANS
Active
Organization
MILLE LACS BAND OF OJIBWE INDIANS
Active
Parent organization
MILLE LACS BAND OF OJIBWE INDIANS
Other names
Ne-Ia-Shing Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Authorized official
NICOLE ANDERSON (COMMISSIONER OF HEALTH & HUMAN SERV)
(320) 532-4163
Entity
Organization
Contact information
Practice address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359
(888) 622-4163
Mailing address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
(888) 622-4163
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085753000
—
MN
Enumeration date
11/29/2006
Last updated
03/17/2022
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