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Organization
RED LAKE KAI SHIN SUD OUTPATIENT
Active
Organization
RED LAKE KAI SHIN SUD OUTPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE ANDERSEN (REVENUE MANAGER)
(218) 679-1320
Entity
Organization
Contact information
Practice address
705 5TH ST NW STE D, BEMIDJI, MN 56601-2933
(651) 447-3755
Mailing address
PO BOX 566, REDLAKE, MN 56671-0566
(218) 679-1320
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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