RED LAKE CHEMICAL HEALTH PROGRAMS is an indian health service tribal urban indian health i t u pharmacy in Ponemah, 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 CHEMICAL HEALTH PROGRAMS NPI is 1992213839. The provider is registered as an organization entity type. The provider Other Name Is Ponemah Outpatient.
The provider's business location address is:
19195 NORTH PONEMAH ROAD PONEMAH, MN ZIP 56666 Phone: (218) 554-7425 Fax: (218) 554-7325
The provider's authorized official is Reyna Cruz Gonzalez-rivera . The authorized official title is Project Director and has the following contact phone number (218) 679-3392.
The enumeration date for this NPI number is 1/12/2018 and was last updated on 3/20/2019.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 11/21/2025
NPI Synchronization or Removal
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