Fond Du Lac Reservation Business Committee
Clinic/center
927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet
Minnesota, 55720
218-879-1227 218-878-3800
Fond Du Lac Reservation Business Committee is a Clinic/center in Cloquet, Minnesota. It is located at 927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet and it's customer support contact number is 218-879-1227. The authorized person of Fond Du Lac Reservation Business Committee is Ms. Marilyn Grover who is Associate Director of this DME and her contact number is 218-879-1227. Fond Du Lac Reservation Business Committee accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fond Du Lac Reservation Business Committee is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
DME Supplier Details:
Fond Du Lac Reservation Business Committee type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Fond Du Lac Reservation Business Committee |
| Type: | Clinic/center |
| Location: | 927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet,
Minnesota, 55720 |
| Phone: | 218-879-1227 |
| Fax: | 218-878-3800 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Marilyn Grover |
| Position: | Associate Director |
| Contact Number: | 218-879-1227 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1326053166 |
| NPI Enumeration Date: | 30 Jul, 2006 |
| NPI Last Update On: | 02 Feb, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fond Du Lac Reservation Business Committee are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | | Minnesota | Primary | |
| Durable Medical Equipment & Medical Supplies | 5985000001 | Minnesota | Secondary | |
| Rehabilitation, Substance Use Disorder | 012003 | Minnesota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 666815100 | Medicaid | Minnesota | |
| 666815101 | Medicaid | Minnesota | |
| 8F27FO | Other | Minnesota | Bcbs Aoda |
Medicare Enrollment:
Fond Du Lac Reservation Business Committee is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6608775879 | O20040107000308 | Fond Du Lac Reservation Business Committee | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 927 Trettle Lane, Fond Du Lac Human Services Division
Cloquet, Minnesota |
| Zip: | 55720 |
| Phone Number: | 218-879-1227 |
| Fax Number: | 218-878-3800 |
Patients can reach Fond Du Lac Reservation Business Committee at
927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet, Minnesota or can
call on customer care at 218-879-1227.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.