<Unavail>

LBN: Red Lake Chemical Health Programs Outpatient
<Unavail> is an health care organization with primary practice located at 15797 Main Ave Hwy 1, Redlake MN 56671-0114. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Red Lake Chemical Health Programs Outpatient can be contacted via phone (218) 679-3392, or through Branchaud, Salena L via phone (218) 679-3392.

Contact Information

Primary practice address
15797 Main Ave Hwy 1 Redlake MN 56671-0114
Phone: (218) 679-3392
Fax: (218) 679-3976
Website:
Map and Directions
Authorized official contact:
Name: Branchaud, Salena L
Phone: (218) 679-3392

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1881802411
LBN Legal business name Red Lake Chemical Health Programs Outpatient
DBA Doing business as <Unavail>
Authorized official Branchaud, Salena L
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Mar 27th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881802411 NPPES
Minnesota MEDICAID 627635100

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