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WARRIOR DOWN - PEER RECOVERY SUPPORT
NPI 1003332057
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, MN

Active since August 21, 2017
15533 MAIN AVENUE, RED LAKE, MN 56671(218) 679-3392 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2019, Aug 21, 2017 (2 updates tracked since 2017).

About Warrior Down - Peer Recovery Support NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARRIOR DOWN - PEER RECOVERY SUPPORT (NPI 1003332057), doing business as Red Lake Detention Outpatient, is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Red Lake, Minnesota and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Red Lake and lists Salena Beasley, Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1003332057
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameWARRIOR DOWN - PEER RECOVERY SUPPORT
Location Address15533 MAIN AVENUERed Lake, MN 56671-0114
Mailing AddressP.o. Box 114Red Lake, MN 56671 · (218) 679-3995 · Fax (218) 679-3976
Phone(218) 679-3392
Organization SubpartNo
Authorized OfficialSalena BeasleyAdmin Officer · (218) 679-3392
Enumeration DateAugust 21, 2017
Last NPPES UpdateNovember 27, 20242 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1003332057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
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.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
15533 MAIN AVENUE, Red Lake, MN 56671
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Other Names 1

Former Legal Business NameRed Lake Detention Outpatient

Secondary Practice Location 1

Location 125064 Highway 1 EastRed Lake, MN 56671 · Phone (218) 679-3995 ext. 1543 · Fax (218) 679-3976

Other Identifiers 1

Other1001MN · Tribal License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warrior Down - Peer Recovery Support's NPI number?

The NPI number for Warrior Down - Peer Recovery Support is 1003332057. It was assigned to this organization in the NPPES registry on August 21, 2017. The provider was formerly known as Red Lake Detention Outpatient.

Where is Warrior Down - Peer Recovery Support located?

Warrior Down - Peer Recovery Support is located at 15533 Main Avenue, Red Lake, MN 56671. The listed phone number is (218) 679-3392.

What is Warrior Down - Peer Recovery Support's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

When was this NPI record last updated?

The NPPES record for Warrior Down - Peer Recovery Support was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.