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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

NPI Number 1841337326
LBN Legal business name RED LAKE COMPREHENSIVE HEALTH SERVICES
Authorized official ORAN BEAULIEU - (TRIBAL HEALTH DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2007
Last updated 05/20/2008 - About 18 years ago
Identifiers
MN Medicaid 222710000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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