RED LAKE COMPREHENSIVE HEALTH SERVICES
NPI 1639466048
Dental Hygienist in Redlake, MN

Q: What is Red Lake Comprehensive Health Services's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Active since July 06, 2011CLIA 24D1049214 · Waiver

24809 HOSPITAL DRIVE, HIGHWAY 1, REDLAKE, MN 56671(218) 679-3316(218) 679-3990 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Red Lake Comprehensive Health Services NPPES

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

RED LAKE COMPREHENSIVE HEALTH SERVICES (NPI 1639466048) is a healthcare organization registered as a dental hygienist in Redlake, Minnesota and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Oran D Beaulieu, Tribal Health Director, as its authorized official.

NPPES Registry Identity

NPI1639466048

Entity TypeOrganization

Primary Taxonomy124Q00000X

Legal Business NameRED LAKE COMPREHENSIVE HEALTH SERVICES

Location Address24809 HOSPITAL DRIVE, HIGHWAY 1Redlake, MN 56671

Mailing AddressPo Box 249Redlake, MN 56671-0249 · (218) 679-3316 · Fax (218) 679-3990

Phone(218) 679-3316

Fax(218) 679-3990

Organization SubpartNo

Authorized OfficialOran D BeaulieuTribal Health Director · (218) 679-3316

Enumeration DateJuly 6, 2011

✔ NPI 1639466048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

24809 HOSPITAL DRIVE, Redlake, MN 56671

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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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1049214

Red Lake Comprehensive Health Services · Redlake, MN

Active · expires Dec 28, 2027

CLIA Number24D1049214

Laboratory TypeOther

Certificate Effective DateDecember 29, 2025

Certificate Expiration DateDecember 28, 2027

Laboratory DirectorLaurel Lussier

Laboratory Phone(218) 679-3316

Laboratory LocationRed Lake Comprehensive Health Services24760 Hospital Drive, Redlake, MN 56671

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Red Lake Comprehensive Health Services's NPI number?

The NPI number for Red Lake Comprehensive Health Services is 1639466048. It was assigned to this organization in the NPPES registry on July 6, 2011.

Where is Red Lake Comprehensive Health Services located?

Red Lake Comprehensive Health Services is located at 24809 Hospital Drive Highway 1, Redlake, MN 56671. The listed phone number is (218) 679-3316.

What is Red Lake Comprehensive Health Services's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Does Red Lake Comprehensive Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1049214) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Red Lake Comprehensive Health Services was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.