Organization
PRAIRIE ISLAND INDIAN COMMUNITY
Active
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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