Bois Forte Human Services | |
13071 Nett Lake Road, Suite B Nett Lake MN 55772 | |
(218) 757-3295 | |
(218) 757-0234 |
Full Name | Bois Forte Human Services |
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Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
Location | 13071 Nett Lake Road, Suite B, Nett Lake, Minnesota |
Authorized Official Name and Position | Lynette Tahtinen (DATA & FINANCE SPECIALIST) |
Authorized Official Contact | 2187573295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bois Forte Human Services 5219 St John Drive Nett Lake MN 55772-8232 Ph: (218) 757-3295 | Bois Forte Human Services 13071 Nett Lake Road, Suite B Nett Lake MN 55772 Ph: (218) 757-3295 |
NPI Number | 1649270901 |
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Provider Enumeration Date | 07/28/2005 |
Last Update Date | 05/16/2018 |
Identifier | Type | State | Issuer |
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1649270901 | NPI | - | NPPES |
Bois Forte Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13090 Westley Drive, Suite B, Nett Lake, MN 55772 Phone: 218-757-0111 Fax: 218-757-0109 |