Organization · Type 2 NPI

Northwest Indian Community Development Center

Community Health Clinic/Center · Bemidji, MN

NPI number 1144686106 Active

Practice location

1819 Bemidji Ave N Ste 1
Bemidji, MN 56601

Call (218) 759-2022 Map

Fax (218) 759-0090

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Home Health Agency	251E00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Community Health Clinic/Center Primary	261QC1500X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed

Community Health Clinic/Center: Definition to come...

NPI record

NPI: 1144686106
Entity type: Organization (Type 2)
Issued: Jan 6, 2016
Last updated: Mar 10, 2022
Status: Active

Other names

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Northwest Indian Community Development Center · doing business as
Northwest Indian Community Development Center Aka Northwest Indian Oic · doing business as

Authorized official

Rhonda G Conn
Director of Operations and Finance
(218) 759-2022

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144686106

Northwest Indian Community Development Center's National Provider Identifier is 1144686106, issued on Jan 6, 2016. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Bemidji, MN. The record was last updated on Mar 10, 2022.