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Organization
RED LAKE BAND OF CHIPPEWA INDIANS
Active
Organization
RED LAKE BAND OF CHIPPEWA INDIANS
Active
Other names
Housing Matters, Red Lake Partnership Services, Kai Shin Medical, MHR, Red Lake Urban Avivo Services, Helix
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE ANDERSEN (BILLING DIRECTOR)
(218) 679-1320
Entity
Organization
Contact information
Practice address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(218) 679-1455
(651) 383-4937
Mailing address
PO BOX 566, RED LAKE, MN 56671-0566
(218) 679-1320
(651) 383-4937
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
08/19/2026
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