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RED LAKE OUTPATIENT PROGRAM
NPI 1881802411
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Redlake, MN

Active since May 18, 2007
15797 MAIN AVE, HWY 1, REDLAKE, MN 56671(218) 679-3392(218) 679-3976 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Red Lake Outpatient Program NPPES

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

RED LAKE OUTPATIENT PROGRAM (NPI 1881802411) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Redlake, Minnesota and active in the NPI registry since May 2007. The organization lists Salena L Branchaud, Program Manger, as its authorized official.

NPPES Registry Identity

NPI1881802411
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameRED LAKE CHEMICAL HEALTH PROGRAMS OUTPATIENT
Location Address15797 MAIN AVE, HWY 1Redlake, MN 56671-0114
Mailing AddressPo Box 114Redlake, MN 56671-0114 · (218) 679-3392 · Fax (218) 679-3976
Phone(218) 679-3392
Fax(218) 679-3976
Organization SubpartNo
Authorized OfficialSalena L BranchaudProgram Manger · (218) 679-3392
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 27, 2019
✔ NPI 1881802411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
15797 MAIN AVE, Redlake, MN 56671
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Other Names 1

Other NameRed Lake Outpatient Program

Other Identifiers 1

Medicaid627635100MN

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

Other Providers at the Same Location NPPES

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

RED LAKE CHEMICAL HEALTH PROGRAMS
Substance Abuse Rehabilitation Facility
15797 MAIN AVE
RED LAKE, MN 56671
Beltrami County (218) 679-3331

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 Chemical Health Programs Outpatient's NPI number?

The NPI number for Red Lake Chemical Health Programs Outpatient is 1881802411. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is also known as Red Lake Outpatient Program.

Where is Red Lake Chemical Health Programs Outpatient located?

Red Lake Chemical Health Programs Outpatient is located at 15797 Main Ave Hwy 1, Redlake, MN 56671. The listed phone number is (218) 679-3392.

What is Red Lake Chemical Health Programs Outpatient'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.

When was this NPI record last updated?

The NPPES record for Red Lake Chemical Health Programs Outpatient was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.