institution
Red Lake Chemical Health Programs
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ponemah, Minnesota
NPI 1992213839

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 Ponemah, MN. The NPI Number for Red Lake Chemical Health Programs is 1992213839 and holds a License No. (Minnesota).

The current practice location address for Red Lake Chemical Health Programs is 19195 North Ponemah Road, Ponemah, MN and can be reached out via phone at 218-554-7425 and via fax at 218-554-7325.

Location: 19195 North Ponemah Road, Ponemah, MN, 56671
institution
Provider Profile Details
NPI Number
1992213839
Provider Name
Red Lake Chemical Health Programs
Credential
Provider Entity Type
Organization
Address
19195 North Ponemah Road, Ponemah, MN, 56671
Phone Number
218-554-7425
Fax Number
218-554-7325
Provider Enumeration Date
01/12/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1004 01 MN TRIBAL LICENSE
institution
Provider Business Practice Location Address Details
Address
19195 North Ponemah Road
City
State
Zip
56666
Phone Number
218-554-7425
Fax Number
218-554-7325
person
Provider Business Mailing Address Details
Address
19195 North Ponemah Road
City
State
Zip
56666
Phone Number
218-554-7425
Fax Number
218-554-7325
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.