ENDAZHI-NITAAWIGING – NPI #1932800638
Clinic/Center

ENDAZHI-NITAAWIGING is an AHC clinic located in RED LAKE, MN. NPPES has assigned the NPI number 1932800638 to ENDAZHI-NITAAWIGING on March 10, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 ENDAZHI-NITAAWIGING below.

NPI Profile for
ENDAZHI-NITAAWIGING

NPI Number
1932800638
Enumeration Date

(more than 3 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
ENDAZHI-NITAAWIGING
Primary location
25065 HWY 1 WEST
RED LAKE, MN 56671
Phone: (218) 308-4164 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SYLVIA FRED
DIRECTOR OF OPERATIONS
Phone: (218) 308-4164
Updated
Certification Date
Mar 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QS1000X
- Clinic/Center / Student Health (Primary)
376K00000X
- Nurse's Aide
363LS0200X
- Nurse Practitioner / School
163WS0200X
- Registered Nurse / School
1041S0200X
- Social Worker / School
1041C0700X
- Social Worker / Clinical
104100000X
- Social Worker
103TS0200X
- Psychologist / School
103K00000X
- Behavior Analyst
101YS0200X
- Counselor / School
101YM0800X
- Counselor / Mental Health

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.