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Mille Lacs Band Of Ojibwe Public Health

Home Health in Onamia, MN. Organization (NPI-2).

NPI number1043477656
StatusActive
Last updated in NPPESAug 18, 2020

Details

NPI
1043477656
Entity type
Organization (NPI-2)
Legal business name
Mille Lacs Band Of Ojibwe Public Health
Organization subpart
No
Enumeration date
May 21, 2008
Certification date
Aug 18, 2020
Last updated
Aug 18, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health339079MNYes

Practice location

18562 Minobimaadizi Loop
Onamia, MN 56359-3001

Phone 320-532-7776 · Fax 320-532-7524

Mailing address

18562 Minobimaadizi Loop
Onamia, MN 56359-3001

Phone 320-532-7776 · Fax 320-532-7524

Authorized official

Nicole Anderson
Commissioner Of Health & Human Serv
3205324163

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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