| White Earth Health Center | |
|
40520 County Highway 34 Ogema MN 56569-9612 | |
| (218) 983-4300 | |
| Not Available |
| Full Name | White Earth Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 40520 County Highway 34, Ogema, Minnesota |
| Authorized Official Name and Position | Jocelyn Jackson (ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2189834300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Earth Health Center 40520 County Highway 34 Ogema MN 56569-9612 Ph: (218) 983-4300 | White Earth Health Center 40520 County Highway 34 Ogema MN 56569-9612 Ph: (218) 983-4300 |
| NPI Number | 1093761710 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/30/2023 |
| Medicare PECOS PAC ID | 1658367925 |
|---|---|
| Medicare Enrollment ID | O20040422000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093761710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Christie Ann Van Hecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215996244 PECOS PAC ID: 3476441551 Enrollment ID: I20040309001302 |
| Provider Name | David Emanuel Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952389306 PECOS PAC ID: 7113994971 Enrollment ID: I20040913000540 |
| Provider Name | Lynelle N Noisy Hawk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881894152 PECOS PAC ID: 8325127822 Enrollment ID: I20080508000803 |
| Provider Name | John Balintona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104813583 PECOS PAC ID: 9537232764 Enrollment ID: I20080722000493 |
| Provider Name | Steven W Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780769562 PECOS PAC ID: 0547353179 Enrollment ID: I20081222000500 |
| Provider Name | Linda L Lohnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215968177 PECOS PAC ID: 1658367602 Enrollment ID: I20090109000632 |
| Provider Name | David J Bellware |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255397329 PECOS PAC ID: 3971637182 Enrollment ID: I20100810000435 |
| Provider Name | Barbara A Birdwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760477160 PECOS PAC ID: 0345207890 Enrollment ID: I20110214000506 |
| Provider Name | Melissa Suzanne Mcguinness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831433499 PECOS PAC ID: 0446485783 Enrollment ID: I20131023000264 |
| Provider Name | Donna M Schippers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922043215 PECOS PAC ID: 8628042223 Enrollment ID: I20140324000175 |
| Provider Name | Deanna T Pepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669430245 PECOS PAC ID: 9931299963 Enrollment ID: I20140326000447 |
| Provider Name | Sandra J Holmgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053677062 PECOS PAC ID: 1254594401 Enrollment ID: I20150812006718 |
| Provider Name | Kayla D Carver |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942438080 PECOS PAC ID: 5193026508 Enrollment ID: I20151208003058 |
| Provider Name | Janice Yuchin Kao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497869390 PECOS PAC ID: 3375867203 Enrollment ID: I20160111002175 |
| Provider Name | Mark P Lambrecht |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447237326 PECOS PAC ID: 8325322241 Enrollment ID: I20170221001293 |
| Provider Name | Jennifer L Simhai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417499435 PECOS PAC ID: 5496030470 Enrollment ID: I20170315000782 |
| Provider Name | Guillermo A Marroquin Galvez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104104736 PECOS PAC ID: 7517273790 Enrollment ID: I20170322001865 |
| Provider Name | Michael A Sundberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306111414 PECOS PAC ID: 8426296765 Enrollment ID: I20171013001262 |
| Provider Name | Hong Suk Yoon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588969331 PECOS PAC ID: 2961670773 Enrollment ID: I20171017001733 |
| Provider Name | Stephanie Lynn Tilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720597933 PECOS PAC ID: 2668735226 Enrollment ID: I20180412000691 |
| Provider Name | Olivia H Beckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467529982 PECOS PAC ID: 6608825559 Enrollment ID: I20181117000237 |
| Provider Name | Julia G Vasquez Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952740623 PECOS PAC ID: 5092061143 Enrollment ID: I20181120000965 |
| Provider Name | Heather R Zimmel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962645440 PECOS PAC ID: 8325199326 Enrollment ID: I20190628001891 |
| Provider Name | Beta J Hamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376553040 PECOS PAC ID: 8224026349 Enrollment ID: I20191112001298 |
| Provider Name | Monica Wenschlag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033751474 PECOS PAC ID: 9537593009 Enrollment ID: I20191217001508 |
| Provider Name | Om Prakash Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104378884 PECOS PAC ID: 9335427830 Enrollment ID: I20200108000499 |
| Provider Name | Kara Elizabeth Sprangers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699329243 PECOS PAC ID: 4587090915 Enrollment ID: I20200204000590 |
| Provider Name | David L August |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508933847 PECOS PAC ID: 8325119811 Enrollment ID: I20200429000417 |
| Provider Name | Joel Urena |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619268182 PECOS PAC ID: 2860784592 Enrollment ID: I20200512000556 |
| Provider Name | Kelsey L Buelow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245601822 PECOS PAC ID: 1557663218 Enrollment ID: I20200519000394 |
| Provider Name | Vanessa Wear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235286196 PECOS PAC ID: 1951590017 Enrollment ID: I20200521000453 |
| Provider Name | Shidrokh Shakeri-cerejo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215914619 PECOS PAC ID: 9234551979 Enrollment ID: I20200625000567 |
| Provider Name | Bruce Mcclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386731883 PECOS PAC ID: 1658275383 Enrollment ID: I20201028000407 |
| Provider Name | Lisa G New |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265478465 PECOS PAC ID: 8729113519 Enrollment ID: I20201201000080 |
| Provider Name | Sean Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750799938 PECOS PAC ID: 7618285313 Enrollment ID: I20210512000378 |
| Provider Name | Phillip W Plager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992294722 PECOS PAC ID: 9032457635 Enrollment ID: I20210828000069 |
| Provider Name | John Michael Schatteles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861422024 PECOS PAC ID: 4981652161 Enrollment ID: I20210915000378 |
| Provider Name | Prashant Jolepalem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174835003 PECOS PAC ID: 2860623360 Enrollment ID: I20220225000279 |
| Provider Name | Junaid Aslam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841685435 PECOS PAC ID: 0244652097 Enrollment ID: I20220323002022 |
| Provider Name | Loretta Settonni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023011137 PECOS PAC ID: 7214824762 Enrollment ID: I20220324000099 |
| Provider Name | Alycia Heisler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992357362 PECOS PAC ID: 4587992755 Enrollment ID: I20220607002653 |
| Provider Name | Anthony W Sebastiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962448662 PECOS PAC ID: 2163500224 Enrollment ID: I20221109003117 |
| Provider Name | Daniel P Vanderhoef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013470863 PECOS PAC ID: 8123355203 Enrollment ID: I20231111000682 |
| Provider Name | Katlin F Vanderhoef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982232161 PECOS PAC ID: 7618334632 Enrollment ID: I20231113002635 |
| Provider Name | Donovan Dewayne Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069930 PECOS PAC ID: 4688893027 Enrollment ID: I20231117000984 |
| Provider Name | Jose Artemio Cumba Quiles |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760717631 PECOS PAC ID: 0547505679 Enrollment ID: I20231211000339 |
| Provider Name | Michael Keegan Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467746818 PECOS PAC ID: 7113146861 Enrollment ID: I20231218000388 |
| Provider Name | Kara Marie Haus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093576589 PECOS PAC ID: 1052752342 Enrollment ID: I20240517001177 |
| Provider Name | Anita Kay Johnson-hoehne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235373788 PECOS PAC ID: 4587903661 Enrollment ID: I20240531000526 |
Phs Ihs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40520 County Highway 34, Ogema, MN 56569 Phone: 218-983-4300 Fax: 218-983-6284 | |
White Earth Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40520 County Highway 34, Ogema, MN 56569 Phone: 218-983-4300 Fax: 218-983-6217 |