RED LAKE COMPREHENSIVE HEALTH SERVICES (NPI# 1841337326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841337326 |
| Entity Type | Organization |
| Organization Name | RED LAKE COMPREHENSIVE HEALTH SERVICES |
| Practice Address |
24760 Hospital Drive Redlake MN 56671-0249 |
| Mailing Address |
Po Box 249 Redlake MN 56671-0249 |
| Practice Telephone | 2186793316 |
| Practice Fax Number | 2186793990 |
| Mailing Telephone | 2186793316 |
| Mailing Fax Number | 2186793990 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | ORAN D. BEAULIEU (TRIBAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2186793316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
MN | Behavioral Health & Social Service Providers | |
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 146N00000X | Emergency Medical Technician, Basic | MN | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 222710000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639466048 | Red Lake Comprehensive Health Services | Dental Hygienist | 24809 Hospital Drive, Highway 1, Redlake, MN 56671 | 2011-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RED LAKE COMPREHENSIVE HEALTH SERVICES | 24760 Hospital Dr, Redlake, MN 56671 |
| Street Address |
24760 HOSPITAL DRIVE |
| City | REDLAKE |
| State | MN |
| Zip Code | 56671-0249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407866510 | Saunda St Martin | Clinical Nurse Specialist | 24760 Hospital Drive, Redlake, MN 56671 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030419 | Red Lake Homeless Shelter Inc. | Case Management | 15855 Main Ave, Red Lake, MN 56671 | 2020-07-13 |
| 1376026153 | Children's Healing Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 25060 Hwy 1 East, Red Lake, MN 56671 | 2018-09-08 |
| 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 |
| Find all providers in zip 56671 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720396 | Douglas Paul Binder | Emergency Medical Technician, Basic | 5025 Turtle Ln W, Shoreview, MN 55126-5953 | 2018-12-03 |
| 1962940320 | Ricardo Felix Vazquez | Emergency Medical Technician, Basic | 2300 Spruce Pl, White Bear Lake, MN 55110-4871 | 2017-02-06 |
| 1437606803 | St. Louis Park Fire Department | Emergency Medical Technician, Basic | 3750 Wooddale Ave S, St Louis Park, MN 55416-5345 | 2016-09-02 |
| 1215357066 | Caitlin Corby | Emergency Medical Technician, Basic | 14055 Providence Ln, Savage, MN 55378-2055 | 2014-04-20 |
| 1629192422 | City of Winnebago | Emergency Medical Technician, Basic | 140 South Main, Winnebago, MN 56098-0035 | 2007-03-19 |
| 1114065240 | City of Mabel | Emergency Medical Technician, Basic | 109 North Elm Street, Mabel, MN 55954-0425 | 2007-02-01 |
| 1629114566 | City of Lakefield | Emergency Medical Technician, Basic | 206 Broadway Ave, Lakefield, MN 56150 | 2007-01-29 |
| 1730282062 | City of Altura | Emergency Medical Technician, Basic | 25 North Main, Altura, MN 55910 | 2006-09-05 |
| 1346358116 | City of Truman | Emergency Medical Technician, Basic | 101 East Ciro Street, Truman, MN 56088-0398 | 2006-08-29 |
| 1952803728 | Kevin Rebman | Emergency Medical Technician, Basic | 5250 W 74th St Ste 8, Edina, MN 55439-2229 | 2018-03-07 |
| Find all providers with the same taxonomy | ||||
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| 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.