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RED LAKE KAI SHIN SUD OUTPATIENT NPI 1326805581


NPI Information

NPI: 1326805581
Provider Name: RED LAKE KAI SHIN SUD OUTPATIENT
Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
705 5TH ST NW STE D
BEMIDJI, MN
ZIP 56601
Phone: (651) 447-3755
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RED LAKE KAI SHIN SUD OUTPATIENT is an indian health service tribal urban indian health i t u pharmacy in Bemidji, 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 KAI SHIN SUD OUTPATIENT NPI is 1326805581. The provider is registered as an organization entity type.

The provider's business location address is:

705 5TH ST NW STE D
BEMIDJI, MN
ZIP 56601-933
Phone: (651) 447-3755

The provider's authorized official is Charlene Andersen .
The authorized official title is Revenue Manager and has the following contact phone number (218) 679-1320.

The enumeration date for this NPI number is 3/4/2024 and was last updated on 3/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.