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Red Lake Chemical Health Programs Outpatient
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Redlake, Minnesota
NPI 1881802411

Red Lake Chemical Health Programs Outpatient is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Redlake, MN. Red Lake Chemical Health Programs Outpatient practices in Redlake, MN. The NPI Number for Red Lake Chemical Health Programs Outpatient is 1881802411 and holds a License No. (Minnesota).

The current practice location address for Red Lake Chemical Health Programs Outpatient is 15797 Main Ave, Redlake, MN and can be reached out via phone at 218-679-3392 and via fax at 218-679-3976.

Location: 15797 Main Ave, Redlake, MN, 56671-0114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881802411
Provider Name
Red Lake Chemical Health Programs Outpatient
Credential
Provider Entity Type
Organization
Address
15797 Main Ave, Redlake, MN, 56671-0114
Phone Number
218-679-3392
Fax Number
218-679-3976
Provider Enumeration Date
05/18/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
627635100 05 MN
institution
Provider Business Practice Location Address Details
Address
15797 Main Ave
City
Redlake
State
Minnesota
Zip
56671-0114
Phone Number
218-679-3392
Fax Number
218-679-3976
person
Provider Business Mailing Address Details
Address
15797 Main Ave
City
Redlake
State
Minnesota
Zip
56671-0114
Phone Number
218-679-3392
Fax Number
218-679-3976
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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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