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Phs Indian Hospital
Specialty Pharmacy in Red Lake, Minnesota
NPI 1063549822

Phs Indian Hospital is a Specialty Pharmacy based in Cleveland, MN and is specialized in Specialty Pharmacy. Phs Indian Hospital practices in Red Lake, MN. The NPI Number for Phs Indian Hospital is 1063549822 and holds a License No. 2604653 (Minnesota).

The current practice location address for Phs Indian Hospital is 24670 Hospital Drive, Red Lake, MN and can be reached out via phone at 218-679-0173 and via fax at 218-679-0189.

Location: 24670 Hospital Drive, Red Lake, MN, 44135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063549822
Provider Name
Phs Indian Hospital
Credential
Provider Entity Type
Organization
Address
24670 Hospital Drive, Red Lake, MN, 44135
Phone Number
218-679-0173
Fax Number
218-679-0189
Provider Enumeration Date
02/28/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2046533 01 PK
476753500 05 MN
institution
Provider Business Practice Location Address Details
Address
24670 Hospital Drive
City
Red Lake
State
Minnesota
Zip
56671
Phone Number
218-679-0173
Fax Number
218-679-0189
person
Provider Business Mailing Address Details
Address
24670 Hospital Drive
City
Red Lake
State
Minnesota
Zip
56671
Phone Number
218-679-0173
Fax Number
218-679-0189
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
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 Health Care Improvement Act, 25 U.S.C. 1603.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
2604653 (Minnesota)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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