NPI 1063549822
Phs Indian Hospital
Practice location
- Address
- 24670 Hospital Drive, Red Lake, MN 56671
- Phone
- (218) 679-0173
- Fax
- (218) 679-0189
- Mailing address
- 4100 W. 150th St Lb: 95419, Cleveland, OH 44135
Authorised official
- Name
- Jan Thunder
- Title
- Business Office Manager
- Phone
- (218) 679-0148
Registered specialties (4)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Clinic Pharmacy
Specialty Pharmacy
Registry record
- NPI
- 1063549822
- Entity type
- Organization
- NPI issued
- 28 Feb 2007
- Record last updated
- 19 Jan 2024
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.