Red Lake Group Home

LBN: Red Lake Chemical Health Programs
Red Lake Group Home is an health care organization with primary practice located at 14414 Green Lake Road , Redby MN 56670. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Red Lake Chemical Health Programs can be contacted via phone (218) 679-3868, or through Gonzalez-Rivera, Reyna Cruz via phone (218) 679-3392.

Contact Information

Primary practice address
14414 Green Lake Road Redby MN 56670
Phone: (218) 679-3868
Fax: (218) 679-3398
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez-Rivera, Reyna Cruz
Phone: (218) 679-3392

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1730696154
LBN Legal business name Red Lake Chemical Health Programs
DBA Doing business as Red Lake Group Home
Authorized official Gonzalez-Rivera, Reyna Cruz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2018
Last updated Jan 8th, 2018 - about 8 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.

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