RED LAKE BAND OF CHIPPEWA INDIANS is an indian health service tribal urban indian health i t u pharmacy in Minneapolis, MN. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. RED LAKE BAND OF CHIPPEWA INDIANS NPI is 1689225351. The provider is registered as an organization entity type.
The provider's business location address is:
1900 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55404-903
Phone: (218) 679-1455
Fax: (651) 383-4937
The provider's authorized official is Alisha Marie Gehlert .
The authorized official title is Economic Dev. Director and has the following contact phone number (218) 679-1461.
The CLIA number assigned to this NPI record is 24D0406620 - hospital with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 9/24/2019 and was last updated on 9/24/2019.