Red Lake Chemical Health Programs Outpatient in Redlake - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Red Lake Chemical Health Programs Outpatient - NPI 1881802411
Red Lake Chemical Health Programs Outpatient is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Redlake, Minnesota. Red Lake Chemical Health Programs Outpatient practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Red Lake Chemical Health Programs Outpatient is 1881802411. The last update date is 2019-03-27.
Red Lake Chemical Health Programs Outpatient's current location address is Po Box 114, Redlake, Minnesota. You can contact this provider via phone number 2186793392 and fax number 2186793976. The mailing address for Red Lake Chemical Health Programs Outpatient is Po Box 114, Redlake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Red Lake Chemical Health Programs Outpatient |
|---|---|
| Address | Po Box 114, Redlake, Minnesota |
| Phone Number | 2186793392 |
| Fax Number | 2186793976 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Branchaud L Salena |
| Telephone Number | 2186793392 |
NPI Number Detail
| NPI Number | 1881802411 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2019-03-27 |
Provider Mailing Address Detail
| Address | Po Box 114 |
|---|---|
| City | Redlake |
| State | Minnesota (MN) |
| Post Code | 566710114 |
| Phone Number | 2186793392 |
| Fax Number | 2186793976 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 627635100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Red Lake Chemical Health Programs Outpatient by the Centers for Medicare & Medicaid Services?
The Red Lake Chemical Health Programs Outpatient has been assigned the NPI (National Provider Identifier) 1881802411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Red Lake Chemical Health Programs Outpatient's physical address?
The Red Lake Chemical Health Programs Outpatient is physically located at Po Box 114, in the city of Redlake, MN, with the postal code 566710114.
What is Red Lake Chemical Health Programs Outpatient's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Red Lake Chemical Health Programs Outpatient's specialized field of practice is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 332800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881802411 to Red Lake Chemical Health Programs Outpatient?
The Red Lake Chemical Health Programs Outpatient received its 1881802411 assignment from the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the Red Lake Chemical Health Programs Outpatient's information last updated?
The Red Lake Chemical Health Programs Outpatient's information was last updated on 2019-03-27.
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