RED LAKE COMPREHENSIVE HEALTH SERVICES NPI 1841337326

NPI Information

NPI: 1841337326
Provider Name: RED LAKE COMPREHENSIVE HEALTH SERVICES
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Organization

CLIA Number: 24D1049214

Address:
24760 HOSPITAL DRIVE
REDLAKE, MN
ZIP 56671
Phone: (218) 679-3316
Get Directions

RED LAKE COMPREHENSIVE HEALTH SERVICES is an emergency medical technician basic in Redlake, MN. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. RED LAKE COMPREHENSIVE HEALTH SERVICES NPI is 1841337326. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

24760 HOSPITAL DRIVE
REDLAKE, MN
ZIP 56671-249
Phone: (218) 679-3316
Fax: (218) 679-3990

The provider's authorized official is Oran D. Beaulieu .
The authorized official title is Tribal Health Director and has the following contact phone number (218) 679-3316.

The CLIA number assigned to this NPI record is 24D1049214 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 5/20/2008.

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 State	Primary
1	1041C0700X	Social Worker	Clinical		No
2	101YP2500X	Counselor	Professional	MINNESOTA	No
3	124Q00000X	Dental Hygienist			No
4	146N00000X	Emergency Medical Technician, Basic		MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	222710000	MEDICAID	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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