Red Lake Detention Outpatient, NPI 1003332057
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, MN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1003332057 |
| NPI Entity Type | Organization |
| Provider Name |
Red Lake Detention Outpatient
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 25064 Highway 1 East, Red Lake, MN, US |
| Provider Mailing Address | P.o. Box 114, Red Lake, MN, US, 56671 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Reyna Cruz Gonzalez-rivera |
| Official Position | PROJECT DIRECTOR |
| Phone | 218-679-3392 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Classification |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Group | |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
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