Provider Demographics
NPI:1003261884
Name:MHA NATION HOME HEALTH CARE
Entity type:Organization
Organization Name:MHA NATION HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRIBAL HEALTH ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MBA
Authorized Official - Phone:701-627-6616
Mailing Address - Street 1:404 FRONTAGE RD
Mailing Address - Street 2:TRIBAL HEALTH
Mailing Address - City:NEW TOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58763-9404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 MINNI TOHE DR
Practice Address - Street 2:
Practice Address - City:NEW TOWN
Practice Address - State:ND
Practice Address - Zip Code:58763-4400
Practice Address - Country:US
Practice Address - Phone:701-627-6618
Practice Address - Fax:701-627-4004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THREE AFFILIATED TRIBES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty