Bois Forte Reservation Tribal Government
Bois Forte Reservation Tribal Government is a Family Medicine Physician in Nett Lake, Minnesota. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
5219 St John DrNett Lake, MN 55772
Phone: (218) 757-3650
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) | Taxonomy 332800000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Case Management Agency | Taxonomy 251B00000X |
| Home Delivered Meals | Taxonomy 332U00000X |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1073530150 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Catherine Chavers — Tribal Chairman · (218) 757-3361 |
| NPI enumerated | July 16, 2006 |
| Last updated in NPPES | May 19, 2022 |
| Certification date | May 19, 2022 |
| Mailing address | 5219 Saint John Dr, Orr, MN 55771-8232 |
Other providers in Nett Lake
-
Shanna Rachelle Vidor, MD
5219 St John Dr, Nett Lake, MN 55772-8232 · (218) 757-3295