Organization · Type 2 NPI

Naytahwaush Health Center

Federal Public Health Clinic/Center · Mahnomen, MN

NPI number 1740202308 Active

Practice location

2471 310th Ave
Mahnomen, MN 56557-9393

Fax (218) 935-5085

Specialties and licenses

Taxonomy	Code	License
Federal Public Health Clinic/Center Primary	261QP0904X	None listed

Federal Public Health Clinic/Center: Definition to come...

3 other providers at this address

NPI record

NPI: 1740202308
Entity type: Organization (Type 2)
Issued: Jul 24, 2006
Last updated: Oct 9, 2025
Status: Active
Subpart: Yes of White Earth Indian Health Center

Other names

<unavail>
White Earth Health Center · doing business as
White Earth Health Center · doing business as
Waabanookwe Health Center · other name

Authorized official

Jocelyn Jackson
Administrative Officer
(218) 983-4300

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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 1740202308

Naytahwaush Health Center's National Provider Identifier is 1740202308, issued on Jul 24, 2006. The primary taxonomy on file is Federal Public Health Clinic/Center (261QP0904X), and the practice location is in Mahnomen, MN. The record was last updated on Oct 9, 2025.