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Organization

PRAIRIE ISLAND INDIAN COMMUNITY

Active
Other names
Prairie Island Community Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA WINFREY (TRIBAL COUNCIL PRESIDENT)
(651) 385-4105
Entity
Organization

Contact information

Practice address
1158 ISLAND BLVD, WELCH, MN 55089-9540
(651) 385-4148
(651) 385-4170
Mailing address
1158 ISLAND BLVD, WELCH, MN 55089-9540
(651) 385-4148
(651) 385-4170

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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