Pine Point Health Station
Clinic/Center, Public Health, Federal in Ponsford, MN. Organization (NPI-2).
NPI number1679587331
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1679587331
- Entity type
- Organization (NPI-2)
- Legal business name
- Pine Point Health Station
- Organization subpart
- Yes
- Enumeration date
- Jul 28, 2006
- Certification date
- Jun 30, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP0904X | Clinic/Center, Public Health, Federal | – | – | Yes |
Other names
- White Earth Health Center (Doing Business As)
Practice location
47520 Mashkiki St.Ponsford, MN 56575
Phone 218-573-2162 · Fax 218-573-3888
Mailing address
47520 Mashkiki St.Ponsford, MN 56575
Phone 218-573-2162 · Fax 218-573-3888
Authorized official
Jocelyn Jackson
Administrative Officer
2189834300
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