institution
Red Lake Chemical Health Programs
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, Minnesota
NPI 1700394640

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 Red Lake, MN. The NPI Number for Red Lake Chemical Health Programs is 1700394640 and holds a License No. (Minnesota).

The current practice location address for Red Lake Chemical Health Programs is 15797 Main Ave, Red Lake, MN and can be reached out via phone at 218-679-3331 and via fax at 218-679-3302.

Location: 15797 Main Ave, Red Lake, MN, 56671
institution
Provider Profile Details
NPI Number
1700394640
Provider Name
Red Lake Chemical Health Programs
Credential
Provider Entity Type
Organization
Address
15797 Main Ave, Red Lake, MN, 56671
Phone Number
218-679-3331
Fax Number
218-679-3302
Provider Enumeration Date
01/12/2018
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003 01 MN TRIBAL LICENSE
institution
Provider Business Practice Location Address Details
Address
15797 Main Ave
City
State
Zip
56671-0114
Phone Number
218-679-3331
Fax Number
218-679-3302
person
Provider Business Mailing Address Details
Address
15797 Main Ave
City
State
Zip
56671-0114
Phone Number
218-679-3331
Fax Number
218-679-3302
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
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
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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