Organization · Type 2 NPI

Bois Forte Reservation Tribal Council

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

NPI number 1649270901 Active

Practice location

13071 Nett Lake Road, Suite B
Nett Lake, MN 55772

Call (218) 757-3295 Map

Fax (218) 757-0234

Mailing address

5219 St John Drive
Nett Lake, MN 55772-8232

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	251S00000X-COMMUNITY (MN)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	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.

Other indian health service/tribal/urban indian health (i/t/u) pharmacy providers in Nett Lake

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NPI record

NPI: 1649270901
Entity type: Organization (Type 2)
Issued: Jul 28, 2005
Last updated: May 16, 2018
Status: Active

Other names

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Bois Forte Human Services · doing business as
Bois Forte Human Services · doing business as

Authorized official

Lynette Tahtinen, CPCS
Data & Finance Specialist
(218) 757-3295

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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 1649270901

Bois Forte Reservation Tribal Council's National Provider Identifier is 1649270901, issued on Jul 28, 2005. 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 16, 2018.