MILLE LACS BAND OF OJIBWE INDIANS


Address: 502 Weber Avenue, Suite 201, Hinckley, MN 55037-6410
Phone: 3203846696

MILLE LACS BAND OF OJIBWE INDIANS (NPI# 1104053669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104053669
Entity Type Organization
Organization Name MILLE LACS BAND OF OJIBWE INDIANS
Other Organization Name HINCKLEY DIII ALCOHOL & DRUG PROGRAM
Practice Address 502 Weber Avenue, Suite 201
Hinckley
MN 55037-6410
Mailing Address 43500 Migizi Dr
Onamia
MN 56359-2241
Practice Telephone 3203846696
Practice Fax Number 3203840020
Mailing Telephone 3205324163
Mailing Fax Number 3205327495
Enumeration Date 2009-06-11
Last Update Date 2019-03-21
Authorized Official Name NICOLE ANDERSON (COMMISSIONER OF HEALTH & HUMAN SERV)
Authorized Official Telephone 3205324163
Is Organization Subpart Y
Parent Organization Name MILLE LACS BAND OF OJIBWE INDIANS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Hinckley DIII Alcohol & Drug Program Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548496060 Mille Lacs Band of Ojibwe Indians Substance Abuse Rehabilitation Facility 17222 Ataage Dr, Onamia, MN 56359 2009-06-10
1831388909 Mille Lacs Band of Ojibwe Indians Community/Behavioral Health 42293 Twilight Rd, Onamia, MN 56359 2007-10-15
1831385509 Mille Lacs Band of Ojibwe Indians Clinic/Center 45741 Grace Lake Road, Sandstone, MN 55072-3203 2007-09-17
1982729364 Mille Lacs Band of Ojibwe Indians Pharmacy 43500 Migizi Drive, Onamia, MN 56359 2007-03-21
1104996867 Mille Lacs Band of Ojibwe Indians Clinic/Center 18562 Minobimaadizi Loop, Onamia, MN 56359-2241 2006-11-09
1699390518 Mille Lacs Band of Ojibwe Indians Community/Behavioral Health 18562 Minobimaadizi Loop, Onamia, MN 56359 2020-06-16
1831624857 Mille Lacs Band of Ojibwe Indians Clinic/Center 43500 Migizi Dr, Onamia, MN 56359 2017-04-27
1285186007 Mille Lacs Band of Ojibwe Indians Substance Abuse Rehabilitation Facility 11600 State Ave, Brainerd, MN 56401 2016-10-27
1407223035 Mille Lacs Band of Ojibwe Indians Home Delivered Meals 18562 Minobimaadizi Loop, Onamia, MN 56359-3001 2015-08-31
1164659652 Mille Lacs Band of Ojibwe Indians Community/Behavioral Health 36666 State Highway 65, Mcgregor, MN 55760 2009-06-11

Office Location

Street Address 502 WEBER AVENUE, SUITE 201
City HINCKLEY
State MN
Zip Code 55037-6410

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Competitor

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City HINCKLEY
Zip Code 55037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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