CHILDREN'S HEALING CENTER


Address: 25060 Hwy 1 East, Red Lake, MN 56671
Phone: 2186791506

CHILDREN'S HEALING CENTER (NPI# 1376026153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376026153
Entity Type Organization
Organization Name CHILDREN'S HEALING CENTER
Practice Address 25060 Hwy 1 East
Red Lake
MN 56671
Mailing Address Po Box 583
Red Lake
MN 56671
Practice Telephone 2186791506
Practice Fax Number 2186793362
Mailing Telephone 2186791506
Mailing Fax Number 2186793362
Enumeration Date 2018-09-08
Last Update Date 2018-09-08
Authorized Official Name MURIEL DUDLEY (PROGRAM DIRECTOR)
Authorized Official Telephone 2186791506
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CHILDREN'S HEALING CENTER 1530 Fulton Street E, Grand Rapids, MI 49503-3874

Office Location

Street Address 25060 HWY 1 EAST
City RED LAKE
State MN
Zip Code 56671

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063030419 Red Lake Homeless Shelter Inc. Case Management 15855 Main Ave, Red Lake, MN 56671 2020-07-13
1003332057 Red Lake Detention Outpatient Substance Abuse Rehabilitation Facility 25064 Highway 1 East, Red Lake, MN 56671 2017-08-21
1831642214 Jennifer Franke Pharmacist 24760 Hospital Rd., Red Lake, MN 56671 2016-08-02
1538445978 Hoaibac Nguyen Pharmacist 24760 Hospital Rd, Red Lake, MN 56671 2011-10-31
1639466048 Red Lake Comprehensive Health Services Dental Hygienist 24809 Hospital Drive, Highway 1, Redlake, MN 56671 2011-07-06
1821391822 Jill Christine Andersen Physical Therapist Hwy 1 Hospital Dr. Box 497, Red Lake, MN 56671 2010-12-13
1871802934 Elizabeth Vivian Rose Dentist 24760 Hospital Dr., Red Lake, MN 56671 2010-10-06
1225202625 Redlake Chemical Health Program Group Home Substance Abuse Rehabilitation Facility 15797 Main Avenue, Redlake, MN 56671 2008-04-16
1104029388 Shannon Carl Nelson General Acute Care Hospital Highway 1 Box 497, Red Lake, MN 56671 2007-06-06
1194930040 Emcare Clinic/Center Phs Indian Hospital Hwy 1 Po 497, Red Lake, MN 56671 2007-05-14
Find all providers in zip 56671

Taxonomy Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

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.
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700394640 Red Lake Chemical Health Programs Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 15797 Main Ave, Red Lake, MN 56671-0114 2018-01-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972139814 Red Lake Band of Chippewa Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 34966 605th Ave, Warroad, MN 56763-9022 2020-03-22
1184250029 Red Lake Band of Chippewa Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 10200 Highway 89, Redlake, MN 56671-2500 2020-03-22
1437785375 Red Lake Band of Chippewa Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 20595 Center St E, Thief River Falls, MN 56701-8016 2020-03-22
1730696154 Red Lake Chemical Health Programs Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 14414 Green Lake Road, Redby, MN 56670 2018-01-08
1144765843 Bois Forte Reservation Tribal Government Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1224 White Pine Cir, Tower, MN 55790 2017-01-04
1629256763 Fond Du Lac Reservation Business Committee Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 221 W 4th St, Duluth, MN 55806-2719 2008-01-31
1164920963 Nacc Tribal Health Services Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1213 E Franklin Ave, Minneapolis, MN 55404-2923 2018-01-26
1386152833 Nacc Medication Assisted Recovery Services Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1213 E Franklin Ave, Minneapolis, MN 55404-2923 2018-01-18
1700064714 Fond Du Lac Reservation Business Committee Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2020 Bloomington Ave, Minneapolis, MN 55404-3073 2008-02-01

Competitor

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City RED LAKE
Zip Code 56671

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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