BOIS FORTE RESERVATION TRIBAL GOVERNMENT (NPI# 1265058903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265058903 |
| Entity Type | Organization |
| Organization Name | BOIS FORTE RESERVATION TRIBAL GOVERNMENT |
| Practice Address |
5219 Saint John Dr Orr MN 55771-8232 |
| Practice Telephone | 2187573650 |
| Mailing Telephone | 2187573650 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | LYNETTE TAHTINEN (BUSINESS MANAGER) |
| Authorized Official Telephone | 2187573650 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOIS FORTE RESERVATION TRIBAL GOVERNMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Bois Forte Public Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144765843 | Bois Forte Reservation Tribal Government | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1224 White Pine Cir, Tower, MN 55790 | 2017-01-04 |
| 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 |
| Street Address |
5219 SAINT JOHN DR |
| City | ORR |
| State | MN |
| Zip Code | 55771-8232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750498218 | Bois Forte Reservation Tribal Council | Ambulance | 5219 Saint John Dr, Orr, MN 55771 | 2006-08-23 |
| 1497373070 | Melissa Hawk | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2020-07-09 |
| 1225536592 | Brandon Mark Anderson | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2018-01-31 |
| 1285153007 | Paul Rasmussen | Nurse Practitioner | 5219 Saint John Dr, Orr, MN 55771-8232 | 2017-09-13 |
| 1316482672 | Wendy Drift | Social Worker | 5219 Saint John Dr, Orr, MN 55771-8232 | 2016-12-22 |
| 1174834709 | Crystal Lee Lobe | Nurse Practitioner | 5219 Saint John Dr, Orr, MN 55771-8232 | 2010-06-29 |
| 1588735856 | Jane Marie Lawrenz | Psychologist | 5219 Saint John Dr, Orr, MN 55771-8232 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760494611 | Lance E Hardwig | Physician Assistant | 13071 Nett Lake Rd., Nett Lake, MN 55771 | 2006-08-12 |
| 1043468853 | Bois Forte Health Services | Case Management | 13071 Nett Lake Road, Nett Lake, MN 55771 | 2008-09-04 |
| 1437181179 | Charles R Helleloid | Family Medicine | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-07-06 |
| 1134308448 | Raymond Lawrence Hawk | Physician Assistant | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2007-11-02 |
| 1265512420 | Michael Todd Rowlette | Dentist | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-10-16 |
| 1932331725 | Arlene R Sipola | Adult Companion | 4420 Brandt Rd, Orr, MN 55771-8358 | 2009-08-13 |
| 1205937604 | Daniel J Lofgren | Psychologist | 10574 Willow River Rd, Orr, MN 55771-9055 | 2006-09-26 |
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BOIS FORTE RESERVATION TRIBAL GOVERNMENT.
| 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.