1. Home
  2. Directory
  3. Minnesota
  4. Red Lake
  5. Indian Health Service Tribal Urban Indian Health I T U Pharmacy
  6. NPI Profile

RED LAKE INDIAN HOSPITAL PHARMACY
NPI 1063549822
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, MN

Active since February 28, 2007
24670 HOSPITAL DRIVE, RED LAKE, MN 56671(218) 679-0173(218) 679-0189 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Feb 1, 2016 (2 updates tracked since 2016).

About Red Lake Indian Hospital Pharmacy NPPES

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

RED LAKE INDIAN HOSPITAL PHARMACY (NPI 1063549822) 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 February 2007. The organization lists Jan Thunder, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063549822
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NamePHS INDIAN HOSPITAL
Location Address24670 HOSPITAL DRIVERed Lake, MN 56671
Mailing Address4100 W. 150th St, Lb: 95419Cleveland, OH 44135
Phone(218) 679-0173
Fax(218) 679-0189
Organization SubpartNo
Authorized OfficialJan ThunderBusiness Office Manager · (218) 679-0148
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJanuary 19, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1063549822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in MN · 2604653
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
24670 HOSPITAL DRIVE, Red Lake, MN 56671
Open in Google Maps ↗

Other Names 1

Doing Business AsRed Lake Indian Hospital Pharmacy

Other Identifiers 2

Other2046533Pk
Medicaid476753500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

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 Phs Indian Hospital's NPI number?

The NPI number for Phs Indian Hospital is 1063549822. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Red Lake Indian Hospital Pharmacy.

Where is Phs Indian Hospital located?

Phs Indian Hospital is located at 24670 Hospital Drive, Red Lake, MN 56671. The listed phone number is (218) 679-0173.

What is Phs Indian Hospital'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.

What insurance does Phs Indian Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., AvMed and Avera Health Plans and 20 other insurers list Phs Indian Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phs Indian Hospital was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.