Organization · Type 2 NPI

Red Lake Band of Chippewa Indians

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Warroad, MN

NPI number 1972139814 Active

Practice location

34966 605th Ave
Warroad, MN 56763-9022

Call (800) 815-8293 Map

Mailing address

PO Box 587
Redlake, MN 56671-0587

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	None listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: 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.

NPI record

NPI: 1972139814
Entity type: Organization (Type 2)
Issued: Mar 22, 2020
Last updated: Mar 22, 2020
Status: Active
Subpart: Yes of Red Lake Band of Chippewa Indians

Other names

Red Lake Emergency Response Program (w) · doing business as

Authorized official

Alisha Marie Gehlert
Director
(218) 679-1461

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972139814

Red Lake Band of Chippewa Indians's National Provider Identifier is 1972139814, issued on Mar 22, 2020. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Warroad, MN. The record was last updated on Mar 22, 2020.