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35708 Co. Hwy. 21 Ogema MN 56569-9998 | |
(218) 983-3285 | |
(218) 983-3027 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 35708 Co. Hwy. 21, Ogema, Minnesota |
Authorized Official Name and Position | Joe Tonihka (PROGRAM MANAGER) |
Authorized Official Contact | 2189833285 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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35708 Co. Hwy. 21 P.o. Box 418 White Earth MN 56591 Ph: (218) 983-3285 | 35708 Co. Hwy. 21 Ogema MN 56569-9998 Ph: (218) 983-3285 |
NPI Number | 1811245137 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/16/2012 |
Identifier | Type | State | Issuer |
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1811245137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 0008 (Minnesota) | Primary |