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Contact Information

RED LAKE CHEMICAL HEALTH PROGRAMS
14414 GREEN LAKE ROAD
REDBY, MN56670
 Phone: 218-679-3868
 Fax: 218-679-3398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

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

332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for RED LAKE CHEMICAL HEALTH PROGRAMS

NPI # 1730696154
LBN Legal business name RED LAKE CHEMICAL HEALTH PROGRAMS
Authorized official REYNA GONZALEZ-RIVERA - (PROJECT DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2018
Last updated 01/08/2018 - About 8 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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