NORTHWEST INDIAN OIC (NPI# 1144686106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144686106 |
| Entity Type | Organization |
| Organization Name | NORTHWEST INDIAN OIC |
| Other Organization Name | NORTHWEST INDIAN COMMUNITY DEVELOPMENT CENTER AKA NORTHWEST INDIAN OIC |
| Practice Address |
1819 Bemidji Ave N Ste 1 Bemidji MN 56601 |
| Mailing Address |
1819 Bemidji Ave N Ste 1 Bemidji MN 56601-3874 |
| Practice Telephone | 2187592022 |
| Practice Fax Number | 2187590090 |
| Mailing Telephone | 2187592022 |
| Mailing Fax Number | 2187590090 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | RHONDA G CONN (DIRECTOR OF OPERATIONS AND FINANCE) |
| Authorized Official Telephone | 2187592022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 163WH0200X | 05 | |
| MN | 3747P1801X | 05 | |
| MN | 374U00000X | 05 | |
| MN | 172V00000X | 05 |
| Other Name | Type Code |
|---|---|
| Northwest Indian Community Development Center | Doing Business As Name - Organization |
| Northwest Indian Community Development Center aka Northwest Indian OIC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST INDIAN OIC | 1819 Bemidji Ave N, Bemidji, MN 56601-3866 |
| Street Address |
1819 BEMIDJI AVE N STE 1 |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| 1821499864 | Headwaters Chiropractic Center LLC | Chiropractor | 1426 Bemidji Ave N, Suite 2, Bemidji, MN 56601 | 2014-09-09 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556434 | Geacom, Inc. | Clinic/Center | 394 S Lake Ave Ste 700, Duluth, MN 55802-2342 | 2020-07-24 |
| 1497318828 | Housing With Care | Clinic/Center | 8200 Humboldt Ave S Ste 218, Bloomington, MN 55431-1432 | 2019-04-22 |
| 1396219259 | Kayd Foundation | Clinic/Center | 1821 University Ave W Ste 227, Saint Paul, MN 55104-2895 | 2019-01-14 |
| 1740798008 | Ace Medical Center, LLC | Clinic/Center | 10259 Englewood Dr, Eden Prairie, MN 55347-4623 | 2018-01-19 |
| 1770020489 | Centracare Clinic | Clinic/Center | 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 | 2017-01-20 |
| 1134574346 | Global International LLC | Clinic/Center | 1305 Larc Industrial Blvd, Burnsville, MN 55337-1411 | 2016-04-26 |
| 1437524998 | Amni Transportation Inc | Clinic/Center | 200 Nathan Ln N, 261, Plymouth, MN 55441-6461 | 2015-12-09 |
| 1386951317 | Myhealth for Teens & Young Adults | Clinic/Center | 15 Eighth Ave. S., Hopkins, MN 55343-7667 | 2010-09-13 |
| 1831329564 | Phoenix Mental Health, P.l.c. | Clinic/Center | 2400 Blaisdell Ave Ste B2, Minneapolis, MN 55404-3394 | 2009-07-15 |
| 1194845883 | American Indian Community Development Corp | Clinic/Center | 1600 East 19th Street, Minneapolis, MN 55404 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
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| 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.