Bois Forte Reservation Tribal Government is an authorized DME supplier for medicare equipments and products.
Bois Forte Reservation Tribal Government is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Nett Lake, Minnesota. It is located at 5219 St. John Dr, Nett Lake and it's customer support contact number is 218-757-3650. The authorized person of Bois Forte Reservation Tribal Government is Catherine Chavers who is Tribal Chairman of the pharmacy and his contact number is 218-757-3361.Bois Forte Reservation Tribal Government accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Bois Forte Reservation Tribal Government is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Bois Forte Reservation Tribal Government type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Bois Forte Reservation Tribal Government
Type:
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Location:
5219 St. John Dr, Nett Lake, Minnesota, 55772
Phone:
218-757-3650
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Catherine Chavers
Position:
Tribal Chairman
Contact Number:
218-757-3361
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 pharmacy are as mentioned below.
NPI Number:
1073530150
NPI Enumeration Date:
16 Jul, 2006
NPI Last Update On:
19 May, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bois Forte Reservation Tribal Government are as mentioned below.
Specialization
License Number
State
Status
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Primary
Family Medicine
Secondary
Case Management
Secondary
Home Delivered Meals
Secondary
Respite Care
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
177515400
Medicaid
Minnesota
63G35BO
Other
Minnesota
Bcbs
Medicare Enrollment:
Bois Forte Reservation Tribal Government 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
7517879778
O20031105000284
Bois Forte Reservation Tribal Council
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:
5219 Saint John Dr, Orr, Minnesota
Zip:
55771-8232
Phone Number:
218-757-3650
Fax Number:
218-757-0222
Patients can reach Bois Forte Reservation Tribal Government at 5219 St. John Dr, Nett Lake, Minnesota or can call on customer care at 218-757-3650.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.