Organization · Type 2 NPI
Fond Du Lac Reservation Business Committee
Clinic/Center · Cloquet, MN
NPI number
1326053166
Active
Practice location
927 Trettle Lane, Fond Du Lac Human Services Division
Cloquet, MN 55720
Fax (218) 878-3800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 012003 (MN) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5985000001 (MN) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Cloquet
About NPI 1326053166
Fond Du Lac Reservation Business Committee's National Provider Identifier is 1326053166, issued on Jul 30, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Cloquet, MN. The record was last updated on Feb 2, 2016.