WHITE EARTH IHS
NPI 1205042728
Durable Medical Equipment & Medical Supplies in Ogema, MN

Q: What is White Earth Health Center's NPI number?

The NPI number for White Earth Health Center is 1205042728. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as White Earth Ihs.

Q: What is White Earth Health Center's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since May 14, 2007CLIA 24D0669265 · Waiver

40520 COUNTY HIGHWAY 34, OGEMA, MN 56569(218) 983-4300(218) 983-6217 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About White Earth Ihs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE EARTH IHS (NPI 1205042728) is a healthcare organization registered as a durable medical equipment & medical supplies in Ogema, Minnesota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Fred C Koebrick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205042728

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameWHITE EARTH HEALTH CENTER

Location Address40520 COUNTY HIGHWAY 34Ogema, MN 56569-9612

Mailing Address40520 County Highway 34Ogema, MN 56569-9612 · (218) 983-4300 · Fax (218) 983-6217

Phone(218) 983-4300

Fax(218) 983-6217

Organization SubpartNo

Authorized OfficialFred C KoebrickCeo · (218) 983-6214

Enumeration DateMay 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205042728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

40520 COUNTY HIGHWAY 34, Ogema, MN 56569

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Other Names 1

Other NameWhite Earth Ihs

Other Identifiers 2

Other5511210003MN · Dmepos Supplier Number

Other6B303WHMN · Bcbs

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0669265

White Earth Ihs Main Lab · Ogema, MN

Active · expires Apr 12, 2028

CLIA Number24D0669265

Laboratory TypeDhhs - Indian Health Svcs

Certificate Effective DateApril 13, 2026

Certificate Expiration DateApril 12, 2028

Laboratory DirectorMelissa J. Fallon

Laboratory Phone(218) 983-6311

Laboratory LocationWhite Earth Ihs Main Lab40520 County Highway 34, Ogema, MN 56569

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENA KAY SMITH PHARMD

Pharmacist