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PONEMAH CLINIC
NPI 1760680300
Clinic/Center - Health Service in Red Lake, MN

Active since July 05, 2007
HWY 1, BOX 497, RED LAKE, MN 56671(218) 679-3912(218) 679-0181 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ponemah Clinic NPPES

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

PONEMAH CLINIC (NPI 1760680300) is a healthcare organization registered as a health service in Red Lake, Minnesota and active in the NPI registry since July 2007. The organization lists Kathleen Dudley, Medical Staff Coor., as its authorized official.

NPPES Registry Identity

NPI1760680300
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePONEMAH CLINIC
Location AddressHWY 1, BOX 497Red Lake, MN 56671
Mailing AddressHwy 1, Box 497Red Lake, MN 56671 · (218) 679-3912 · Fax (218) 679-0181
Phone(218) 679-3912
Fax(218) 679-0181
Organization SubpartNo
Authorized OfficialKathleen DudleyMedical Staff Coor. · (218) 679-3912
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 14, 2008
✔ NPI 1760680300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
HWY 1, Red Lake, MN 56671
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Other Providers at the Same Location NPPES 7

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

JOHN D DICK MSW
Counselor (Mental Health)
HWY 1
REDLAKE, MN 56671
Beltrami County (218) 679-3912
MARY E MACKEY PHARMD
Pharmacist
HWY 1
RED LAKE, MN 56671
Beltrami County (218) 679-3912
DR. KIMBERLY ANNETTE ZIETLOW PHARM.D.
Pharmacist (Pharmacotherapy)
HWY 1
RED LAKE, MN 56671
Beltrami County (218) 679-3912
JOHN J PIENIAZEK M.D.
Family Medicine
HWY 1
RED LAKE, MN 56671
Beltrami County (218) 679-3912
MRS. KRISTIN RENEE' HAMLIN-PASSES APRN,BC
Nurse Practitioner (Psychiatric/Mental Health)
HWY 1
RED LAKE, MN 56671
Beltrami County (218) 679-0139
JILL MARIA BREYEN RD,LD
Dietitian, Registered
HWY 1
REDLAKE, MN 56671
Beltrami County (218) 679-3912
PHARMACY DEPT. PHS INDIAN HOPSITAL
General Acute Care Hospital
HWY 1, BOX 497
RED LAKE, 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 Ponemah Clinic's NPI number?

The NPI number for Ponemah Clinic is 1760680300. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Ponemah Clinic located?

Ponemah Clinic is located at Hwy 1 Box 497, Red Lake, MN 56671. The listed phone number is (218) 679-3912.

What is Ponemah Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Ponemah Clinic was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.