RED LAKE AVIVO SUD TRIBAL HEALTH SERVICES
NPI 1740042654
Substance Abuse Rehabilitation Facility in Minneapolis, MN

Q: What is Red Lake Avivo Sud Tribal Health Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since January 25, 2024

1900 CHICAGO AVE S, MINNEAPOLIS, MN 55404(612) 752-8106 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Red Lake Avivo Sud Tribal Health Services NPPES

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

RED LAKE AVIVO SUD TRIBAL HEALTH SERVICES (NPI 1740042654) is a healthcare organization registered as a substance abuse rehabilitation facility in Minneapolis, Minnesota and active in the NPI registry since January 2024. The organization lists Charlene Andersen, Revenue Manger, as its authorized official.

NPPES Registry Identity

NPI1740042654

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameRED LAKE AVIVO SUD TRIBAL HEALTH SERVICES

Location Address1900 CHICAGO AVE SMinneapolis, MN 55404

Mailing AddressPo Box 566Redlake, MN 56671-0566 · (218) 679-1320

Phone(612) 752-8106

Organization SubpartNo

Authorized OfficialCharlene AndersenRevenue Manger · (218) 679-1320

Enumeration DateJanuary 25, 2024

NPPES CertifiedJanuary 25, 2024

✔ NPI 1740042654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

1900 CHICAGO AVE S, Minneapolis, MN 55404

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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 Avivo Sud Tribal Health Services's NPI number?

The NPI number for Red Lake Avivo Sud Tribal Health Services is 1740042654. It was assigned to this organization in the NPPES registry on January 25, 2024.

Where is Red Lake Avivo Sud Tribal Health Services located?

Red Lake Avivo Sud Tribal Health Services is located at 1900 Chicago Ave S, Minneapolis, MN 55404. The listed phone number is (612) 752-8106.

What is Red Lake Avivo Sud Tribal Health Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Red Lake Avivo Sud Tribal Health Services was last updated on January 25, 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.