Organization Name: | MILLE LACS BAND OF OJIBWE PUBLIC HEALTH |
NPI Number: | 1043477656 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANNE M. HOLMQUIST (BILLING SPECIALIST) |
Mailing Address: | 17230 Noopiming Drive Onamia |
State: | MN US |
Postal Code: | 563594522 |
Phone Number: | 3205327776 |
Fax Number: | 3205327524 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251E00000X |
License Number: | 339079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Health |
Taxonomy Specialization: | |
Taxonomy Definition: | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |