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Contact Information

RED LAKE HOMELESS SHELTER INC.
15855 MAIN AVE
RED LAKE, MN56671
 Phone: 218-679-3228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for RED LAKE HOMELESS SHELTER INC.

NPI # 1063030419
LBN Legal business name RED LAKE HOMELESS SHELTER INC.
Authorized official JORDAN MAY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/13/2020
Last updated 07/13/2020 - About 6 years ago
Identifiers n/a
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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