NPI 1063030419

Red Lake Homeless Shelter INC.

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Red Lake, MN

Practice location

Address: 15855 Main Ave, Red Lake, MN 56671
Phone: (218) 679-3228
Mailing address: PO Box 280, Redlake, MN 56671-0280

Authorised official

Name: Jordan May
Title: Executive Director
Phone: (218) 679-3228

Registered specialties (2)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary

Suppliers Taxonomy 332800000X

Other Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy providers in Minnesota →

Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1063030419
Entity type: Organization
NPI issued: 13 Jul 2020
Record last updated: 13 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.