<Unavail>
LBN: Phs Indian Hospital
<Unavail> is an health care organization with primary practice located at 24670 Hospital Drive , Red Lake MN 56671. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty.
Phs Indian Hospital can be contacted via phone (218) 679-0173, or through Thunder, Jan via phone (218) 679-0148.
Contact Information
Primary practice address
24670 Hospital Drive
Red Lake MN 56671
Phone: (218) 679-0173
Fax: (218) 679-0189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 2604653 | Minnesota |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1063549822 |
|---|---|
| LBN Legal business name | Phs Indian Hospital |
| DBA Doing business as | <Unavail> |
| Authorized official | Thunder, Jan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jan 19th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063549822 | NPPES |
| Other | 2046533 | PK | |
| MEDICAID | 476753500 | PK |
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