| Red Lake Band Of Chippewa Indians | |
|
15816 Agency Street Redlake MN 56671-0472 | |
| (218) 679-2122 | |
| (218) 679-2929 |
| Full Name | Red Lake Band Of Chippewa Indians |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15816 Agency Street, Redlake, Minnesota |
| Authorized Official Name and Position | Sandra Parsons (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2186792122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Lake Band Of Chippewa Indians Po Box 472 Redlake MN 56671-0472 Ph: (218) 679-2122 | Red Lake Band Of Chippewa Indians 15816 Agency Street Redlake MN 56671-0472 Ph: (218) 679-2122 |
| NPI Number | 1124214887 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 09/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124214887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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