WHITE EARTH WOMENS WELBRITY CENTER – NPI #1558463877
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

WHITE EARTH WOMENS WELBRITY CENTER is a substance abuse rehabilitation facility located in MAHNOMEN, MN. NPPES has assigned the NPI number 1558463877 to WHITE EARTH WOMENS WELBRITY CENTER on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WHITE EARTH WOMENS WELBRITY CENTER” is a dba name, the actual legal business name for this organization is WHITE EARTH BAND OF CHIPPEWA. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 WHITE EARTH WOMENS WELBRITY CENTER below.

NPI Profile for
WHITE EARTH BAND OF CHIPPEWA

NPI Number
1558463877
Enumeration Date

(about 20 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
WHITE EARTH BAND OF CHIPPEWA
Doing Business As (dba): WHITE EARTH WOMENS WELBRITY CENTER
Primary location
2388 STATE HWY 200
MAHNOMEN, MN 56557
Phone: (218) 936-5653 Fax: (218) 936-5655
Mailing address
PO BOX 359
MAHNOMEN, MN 56557-0359
Phone: (218) 936-5653 Fax: (218) 936-5655
Organization Subpart
No
Authorized Official
PATRICIA MORAN
CHEMICAL DEPENDENCY COORDINATOR
Phone: (218) 983-3285
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
324500000X
- Substance Abuse Rehabilitation Facility (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.