White Earth Fasd Program

LBN: White Earth Fasd Program
White Earth Fasd Program is an health care organization with primary practice located at 26246 Crane Rd , White Earth MN 56591-9998. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. White Earth Fasd Program can be contacted via phone (218) 983-3286, or through Fox, Monte via phone (218) 983-3286.

Contact Information

Primary practice address
26246 Crane Rd White Earth MN 56591-9998
Phone: (218) 983-3286
Fax: (218) 983-4308
Website:
Map and Directions
Authorized official contact:
Name: Fox, Monte
Phone: (218) 983-3286

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1568790012
LBN Legal business name White Earth Fasd Program
DBA Doing business as
Authorized official Fox, Monte
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2009
Last updated Mar 14th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers