Organization · Type 2 NPI
Ponemah Clinic
Health Service Clinic/Center · Red Lake, MN
NPI number
1760680300
Active
Practice location
Hwy 1, Box 497
Red Lake, MN 56671
Fax (218) 679-0181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
7 other providers at this address
- Pharmacy Dept. PHS Indian HopsitalGeneral Acute Care Hospital Red Lake, MN NPI 1972644318
- Jill Maria Breyen, RD, LDRegistered Dietitian Redlake, MN NPI 1952475063
- John D. Dick, MSWMental Health Counselor Redlake, MN NPI 1073716023
- John J. Pieniazek, MDFamily Medicine Physician Red Lake, MN NPI 1740360163
- Kimberly Annette Zietlow, PharmDPharmacotherapy Pharmacist Red Lake, MN NPI 1740253293
- Kristin Renee' Hamlin-Passes, APRN, BCPsychiatric/Mental Health Nurse Practitioner Red Lake, MN NPI 1942228135
- Mary E. Mackey, PharmDPharmacist Red Lake, MN NPI 1376515049
Other health service clinic/center providers in Red Lake
About NPI 1760680300
Ponemah Clinic's National Provider Identifier is 1760680300, issued on Jul 5, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Red Lake, MN. The record was last updated on Aug 14, 2008.