Laporte Chemical Health Program | |
315 Main St W Laporte School District #306 Laporte MN 56461-4659 | |
(218) 444-2845 | |
(218) 444-2847 |
Full Name | Laporte Chemical Health Program |
---|---|
Speciality | Community/behavioral Health |
Location | 315 Main St W, Laporte, Minnesota |
Authorized Official Name and Position | Steve M. Jackelen (ASSISTANT DIRECTOR) |
Authorized Official Contact | 2187515919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Laporte Chemical Health Program 514 Beltrami Ave Nw Bemidji MN 56601-3010 Ph: (218) 444-2845 | Laporte Chemical Health Program 315 Main St W Laporte School District #306 Laporte MN 56461-4659 Ph: (218) 444-2845 |
NPI Number | 1295814796 |
---|---|
Provider Enumeration Date | 11/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295814796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1042735-1-CDT (Minnesota) | Primary |