| White Earth Health Center | |
|
47520 Mashkiki St. Ponsford MN 56575 | |
| (218) 573-2162 | |
| (218) 573-3888 |
| Full Name | White Earth Health Center |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 47520 Mashkiki St., Ponsford, Minnesota |
| Authorized Official Name and Position | Jocelyn Jackson (ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2189834300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Earth Health Center 47520 Mashkiki St. Ponsford MN 56575 Ph: (218) 573-2162 | White Earth Health Center 47520 Mashkiki St. Ponsford MN 56575 Ph: (218) 573-2162 |
| NPI Number | 1679587331 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679587331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |