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PONEMAH OUTPATIENT
NPI 1992213839
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ponemah, MN

Active since January 12, 2018
19195 NORTH PONEMAH ROAD, PONEMAH, MN 56666(218) 554-7425(218) 554-7325 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2019, Jan 12, 2018 (2 updates tracked since 2018).

About Ponemah Outpatient NPPES

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

PONEMAH OUTPATIENT (NPI 1992213839) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Ponemah, Minnesota and active in the NPI registry since January 2018. The organization lists Reyna Cruz Gonzalez-rivera, Project Director, as its authorized official.

NPPES Registry Identity

NPI1992213839
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameRED LAKE CHEMICAL HEALTH PROGRAMS
Location Address19195 NORTH PONEMAH ROADPonemah, MN 56666
Mailing AddressP.o. Box 114Red Lake, MN 56671
Phone(218) 554-7425
Fax(218) 554-7325
Organization SubpartYesParent: Ponemah Outpatient
Authorized OfficialReyna Cruz Gonzalez-riveraProject Director · (218) 679-3392
Enumeration DateJanuary 12, 2018
Last NPPES UpdateMarch 20, 20192 updates tracked since enumeration
✔ NPI 1992213839 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 ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
19195 NORTH PONEMAH ROAD, Ponemah, MN 56666
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Other Names 1

Other NamePonemah Outpatient

Other Identifiers 1

Other1004MN · Tribal License

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's NPI number?

The NPI number for Red Lake Chemical Health Programs is 1992213839. It was assigned to this organization in the NPPES registry on January 12, 2018. The provider is also known as Ponemah Outpatient.

Where is Red Lake Chemical Health Programs located?

Red Lake Chemical Health Programs is located at 19195 North Ponemah Road, Ponemah, MN 56666. The listed phone number is (218) 554-7425.

What is Red Lake Chemical Health Programs'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 was last updated on March 20, 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.