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MILLE LACS BAND OF OJIBWE INDIANS
NPI 1962698571
Clinic/Center - Federally Qualified Health Center (FQHC) in Mcgregor, MN

Active since September 18, 2007
36666 STATE HIGHWAY 65, MCGREGOR, MN 55760(218) 768-3311(218) 768-6124 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2024, Aug 10, 2020, Aug 8, 2019 and 2 more (5 updates tracked since 2018).

About Mille Lacs Band Of Ojibwe Indians NPPES

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

MILLE LACS BAND OF OJIBWE INDIANS (NPI 1962698571) is a healthcare organization registered as a federally qualified health center (fqhc) in Mcgregor, Minnesota and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Mcgregor and lists Nicole Anderson, Commissioner Health & Human Svcs, as its authorized official.

NPPES Registry Identity

NPI1962698571
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMILLE LACS BAND OF OJIBWE INDIANS
Location Address36666 STATE HIGHWAY 65Mcgregor, MN 55760
Mailing Address18562 Minobimaadizi LoopOnamia, MN 56359 · (320) 532-4163 · Fax (320) 532-4354
Phone(218) 768-3311
Fax(218) 768-6124
Organization SubpartYes
Authorized OfficialNicole AndersonCommissioner Health & Human Svcs · (320) 532-4163
Enumeration DateSeptember 18, 2007
Last NPPES UpdateJune 4, 20245 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1962698571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
36666 STATE HIGHWAY 65, Mcgregor, MN 55760
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Secondary Practice Location 1

Location 120849 370th LnMcGregor, MN 55760-2201 · Phone (218) 768-7090

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mille Lacs Band Of Ojibwe Indians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20090128000166Part A · Federally Qualified Health Center (FQHC)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 3

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

MILLE LACS BAND OF OJIBWE INDIANS
Community/Behavioral Health
36666 STATE HIGHWAY 65
MCGREGOR, MN 55760
Aitkin County (218) 768-2431
MR. ANDREW HARVEY THOMPSON M.S.L.P.
Psychologist (Counseling)
36666 STATE HIGHWAY 65
MCGREGOR, MN 55760
Aitkin County (218) 768-5322
REBECCA SWANSEY LPN
Licensed Practical Nurse
36666 STATE HIGHWAY 65
MCGREGOR, MN 55760
Aitkin County (219) 768-3287

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mille Lacs Band Of Ojibwe Indians's NPI number?

The NPI number for Mille Lacs Band Of Ojibwe Indians is 1962698571. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Mille Lacs Band Of Ojibwe Indians located?

Mille Lacs Band Of Ojibwe Indians is located at 36666 State Highway 65, Mcgregor, MN 55760. The listed phone number is (218) 768-3311.

What is Mille Lacs Band Of Ojibwe Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mille Lacs Band Of Ojibwe Indians enrolled in Medicare?

Yes. Mille Lacs Band Of Ojibwe Indians is registered in the Medicare PECOS enrollment system.

When is Mille Lacs Band Of Ojibwe Indians's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Minnesota, Federally Qualified Health Center (FQHC)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Mille Lacs Band Of Ojibwe Indians was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.