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PHS INDIAN HOSPITAL-DENTAL
NPI 1609392992
Dentist - General Practice in Redlake, MN

Active since August 17, 2017
PO BOX 497, REDLAKE, MN 56671(218) 679-3912(218) 679-0181 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 17, 2017 (2 updates tracked since 2017).

About Phs Indian Hospital-dental NPPES

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

PHS INDIAN HOSPITAL-DENTAL (NPI 1609392992) is a healthcare organization registered as a general practice in Redlake, Minnesota and active in the NPI registry since August 2017. The organization lists Janice Marie Thunder, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609392992
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHS INDIAN HOSPITAL
Location AddressPO BOX 497Redlake, MN 56671-0497
Mailing Address24760 Hospital Drive, Box 497 C/o Business OfficeRed Lake, MN 56671 · (218) 679-3912 · Fax (218) 679-0181
Phone(218) 679-3912
Fax(218) 679-0181
Organization SubpartNo
Authorized OfficialJanice Marie ThunderBusiness Office Manager · (218) 679-3912
Enumeration DateAugust 17, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1609392992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
PO BOX 497, Redlake, MN 56671
Open in Google Maps ↗

Other Names 1

Doing Business AsPhs Indian Hospital-dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Phs Indian Hospital carries, from the Medicare DMEPOS supplier directory.

Phs Indian Hospital

DMEPOS supplier · Redlake, MN
✔

Accepts Medicare assignment

Phs Indian Hospital agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20615327
Medicare Participant SinceJuly 1, 2001
Supplier Location24760 Hospital DrRedlake, MN 56671
Phone(218) 679-3912
Provider TypeIndian Health Service
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHS INDIAN HOSPITAL
Psychologist
PO BOX 497
REDLAKE, MN 56671
Beltrami County (218) 679-3912

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 1609392992. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is doing business as Phs Indian Hospital-Dental.

Where is Phs Indian Hospital located?

Phs Indian Hospital is located at PO Box 497, Redlake, MN 56671. The listed phone number is (218) 679-3912.

What is Phs Indian Hospital's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Phs Indian Hospital accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Phs Indian Hospital accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Phs Indian Hospital was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.