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Red Lake Chemical Health Programs
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Redby, Minnesota
NPI 1578070991

Red Lake Chemical Health Programs is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Red Lake, MN. Red Lake Chemical Health Programs practices in Redby, MN. The NPI Number for Red Lake Chemical Health Programs is 1578070991 and holds a License No. (Minnesota).

The current practice location address for Red Lake Chemical Health Programs is 15566 Dakota Avenue, Redby, MN and can be reached out via phone at 218-679-3387 and via fax at 218-679-2375.

Location: 15566 Dakota Avenue, Redby, MN, 56671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578070991
Provider Name
Red Lake Chemical Health Programs
Credential
Provider Entity Type
Organization
Address
15566 Dakota Avenue, Redby, MN, 56671
Phone Number
218-679-3387
Fax Number
218-679-2375
Provider Enumeration Date
01/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
649755100 05 MN
institution
Provider Business Practice Location Address Details
Address
15566 Dakota Avenue
City
Redby
State
Minnesota
Zip
56670
Phone Number
218-679-3387
Fax Number
218-679-2375
person
Provider Business Mailing Address Details
Address
15566 Dakota Avenue
City
Redby
State
Minnesota
Zip
56670
Phone Number
218-679-3387
Fax Number
218-679-2375
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 2
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.
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