National Provider Identifier Database

RED LAKE HOMELESS SHELTER INC
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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.


Contact Information

RED LAKE HOMELESS SHELTER INC.
15855 MAIN AVE
RED LAKE, MN56671
Phone: 218-679-3228
Fax:
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Case Management 251B00000X

* Indicates primary specialty

NPI Profile & details for RED LAKE HOMELESS SHELTER INC.

NPI Number 1063030419
Legal business name
LBN
RED LAKE HOMELESS SHELTER INC.
Authorized official JORDAN MAY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 07/13/2020
Last updated 07/13/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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