BOIS FORTE RESERVATION TRIBAL GOVERNMENT


Address: 1224 White Pine Cir, Tower, MN 55790
Phone: 2187573131

BOIS FORTE RESERVATION TRIBAL GOVERNMENT (NPI# 1144765843) 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) 1144765843
Entity Type Organization
Organization Name BOIS FORTE RESERVATION TRIBAL GOVERNMENT
Other Organization Name NEW MOON
Practice Address 1224 White Pine Cir
Tower
MN 55790
Mailing Address 5219 Saint John Dr
Orr
MN 55771-8232
Practice Telephone 2187573131
Mailing Telephone 2187573295
Enumeration Date 2017-01-04
Last Update Date 2018-05-15
Authorized Official Name PAMELA HUGHES (MANAGER)
Authorized Official Telephone 2187573295
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers

Other Provider/Organization Names

Other Name Type Code
New Moon Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073530150 Bois Forte Reservation Tribal Government Family Medicine 5219 St. John Dr, Nett Lake, MN 55772 2006-07-16
1750907010 Bois Forte Reservation Tribal Government Pharmacy 1613 Farm Rd S, Tower, MN 55790-5579 2020-06-23
1265058903 Bois Forte Reservation Tribal Government Pharmacy 5219 Saint John Dr, Orr, MN 55771-8232 2020-06-18

Office Location

Street Address 1224 WHITE PINE CIR
City TOWER
State MN
Zip Code 55790

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437691417 Vermilion Pharmacy Clinic/Center 1613 Farm Rd. South, Tower, MN 55790 2016-11-08
1669846176 Emily A. Barto Counselor 1613 Farm Rd South, Tower, MN 55790 2015-11-20
1144664202 Megan Dawn Flannigan Pharmacist 1613 Farm Road South, Tower, MN 55790 2013-04-19
1023339140 Emily Marie Hadrava Nurse Practitioner 415 N 2nd St Suite 2, Cook Area Health Services, Inc, Tower, MN 55790 2010-06-14
1538371117 Bois Forte Reservation Tribal Council Clinic/Center 1195 County Road 77, Tower, MN 55790 2007-05-04
1629319561 Cook Area Health Services, Inc Non-Pharmacy Dispensing Site 415 N 2nd St, Suite 2, Tower, MN 55790 2013-03-01
1750633806 Cook Area Health Services, Inc. Clinic/Center 415 N 2nd St, Suite 2, Tower, MN 55790 2012-10-12
1295951309 City of Tower Ambulance 602 Main Street, Tower, MN 55790 2007-04-17
1699832410 Bruce Arthur Baker Dentist 415 N 2nd St, Suite 2 D, Tower, MN 55790-0417 2007-01-02
1619213741 Cook Area Health Services, Inc Clinic/Center 415 N 2nd St, Suite 2 D, Tower, MN 55790-0417 2012-12-18
Find all providers in zip 55790

Taxonomy Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972139814 Red Lake Band of Chippewa Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 34966 605th Ave, Warroad, MN 56763-9022 2020-03-22
1184250029 Red Lake Band of Chippewa Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 10200 Highway 89, Redlake, MN 56671-2500 2020-03-22
1437785375 Red Lake Band of Chippewa Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 20595 Center St E, Thief River Falls, MN 56701-8016 2020-03-22
1376026153 Children's Healing Center Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 25060 Hwy 1 East, Red Lake, MN 56671 2018-09-08
1730696154 Red Lake Chemical Health Programs Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 14414 Green Lake Road, Redby, MN 56670 2018-01-08
1629256763 Fond Du Lac Reservation Business Committee Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 221 W 4th St, Duluth, MN 55806-2719 2008-01-31
1164920963 Nacc Tribal Health Services Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1213 E Franklin Ave, Minneapolis, MN 55404-2923 2018-01-26
1386152833 Nacc Medication Assisted Recovery Services Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1213 E Franklin Ave, Minneapolis, MN 55404-2923 2018-01-18
1700394640 Red Lake Chemical Health Programs Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 15797 Main Ave, Red Lake, MN 56671-0114 2018-01-12
1700064714 Fond Du Lac Reservation Business Committee Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2020 Bloomington Ave, Minneapolis, MN 55404-3073 2008-02-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City TOWER
Zip Code 55790

Improve Information

Please comment or provide details below to improve the information on BOIS FORTE RESERVATION TRIBAL GOVERNMENT.

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.

Trending Searches