| Binesiikweg, Inc. | |
|
522 Beltrami Ave Nw Suite 115 Bemidji MN 56601-3001 | |
| (218) 760-2222 | |
| Not Available |
| Full Name | Binesiikweg, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 522 Beltrami Ave Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Melissa George-humphrey (PRESIDENT) |
| Authorized Official Contact | 2187602222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Binesiikweg, Inc. 522 Beltrami Ave Nw Suite 115 Bemidji MN 56601-3001 Ph: (218) 760-2222 | Binesiikweg, Inc. 522 Beltrami Ave Nw Suite 115 Bemidji MN 56601-3001 Ph: (218) 760-2222 |
| NPI Number | 1144637810 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144637810 | NPI | - | NPPES |
| 288620100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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