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Contact Information

RED LAKE COMPREHENSIVE HEALTH SERVICES
24760 HOSPITAL DRIVE
RED LAKE, MN56671-0249
 Phone: 218-679-3316
 Fax: 218-679-3990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Dental Hygienist

124Q00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for RED LAKE COMPREHENSIVE HEALTH SERVICES · (Female)

NPI Number 1841337326
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2007
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Medicaid 222710000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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