MILLE LACS BAND OF OJIBWE INDIANS (NPI# 1548496060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548496060 |
Entity Type | Organization |
Organization Name | MILLE LACS BAND OF OJIBWE INDIANS |
Other Organization Name | MILLE LACS BAND HALFWAY HOUSE |
Practice Address |
17222 Ataage Dr Onamia MN 56359 |
Mailing Address |
43500 Migizi Dr Onamia MN 56359-2241 |
Practice Telephone | 3205327774 |
Practice Fax Number | 3205327583 |
Mailing Telephone | 3205324163 |
Mailing Fax Number | 3205327495 |
Enumeration Date | 2009-06-10 |
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | ========= | MN | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Mille Lacs Band Halfway House | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104053669 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 502 Weber Avenue, Suite 201, Hinckley, MN 55037-6410 | 2009-06-11 |
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 |
Street Address |
17222 ATAAGE DR |
City | ONAMIA |
State | MN |
Zip Code | 56359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
1699390518 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 18562 Minobimaadizi Loop, Onamia, MN 56359 | 2020-06-16 |
Find all providers in zip 56359 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
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1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
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1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
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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.