Organization · Type 2 NPI

Bois Forte Reservation Tribal Government

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Nett Lake, MN

NPI number 1073530150 Active

Practice location

5219 St. John Dr
Nett Lake, MN 55772

Call (218) 757-3650 Map

Mailing address

5219 Saint John Dr
Orr, MN 55771-8232

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Case Management Agency	251B00000X	None listed
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	None listed
Home Delivered Meals	332U00000X	None listed
Respite Care	385H00000X	None listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: 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.

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About NPI 1073530150

Bois Forte Reservation Tribal Government's National Provider Identifier is 1073530150, issued on Jul 16, 2006. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Nett Lake, MN. The record was last updated on May 19, 2022.