MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES – NPI #1679933568
Clinic/Center

MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES is an AHC clinic located in CASS LAKE, MN. NPPES has assigned the NPI number 1679933568 to MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES on March 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES below.

NPI Profile for
MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES

NPI Number
1679933568
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES
Primary location
15546 STATE 371 NW
CASS LAKE, MN 56633
Phone: (218) 339-3167 Fax: (218) 335-8080
Mailing address
P.O. BOX 217
15542 STATE 371 NW
CASS LAKE, MN 56633
Phone: (218) 335-8586 Fax: (218) 335-8080
Organization Subpart
No
Authorized Official
GARY FRAZER
EXECUTIVE DIRECTOR
Phone: (218) 335-8581
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 MN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.