NPI 1326805581
Red Lake Kai Shin Sud Outpatient
Practice location
- Address
- 705 5th St NW STE D, Bemidji, MN 56601-2933
- Phone
- (651) 447-3755
- Mailing address
- PO Box 566, Redlake, MN 56671-0566
Authorised official
- Name
- Charlene Andersen
- Title
- Revenue Manager
- Phone
- (218) 679-1320
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1326805581
- Entity type
- Organization
- NPI issued
- 4 Mar 2024
- Record last updated
- 4 Mar 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.