# RED LAKE COMPREHENSIVE HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841337326
- **Authorized official:** ORAN D. BEAULIEU (TRIBAL HEALTH DIRECTOR)
- **Authorized official phone:** (218) 679-3316

## Contact information

- **Practice address:** 24760 HOSPITAL DRIVE, REDLAKE, MN 56671-0249
- **Practice address phone:** (218) 679-3316
- **Practice address fax:** (218) 679-3990
- **Mailing address:** PO BOX 249, REDLAKE, MN 56671-0249
- **Mailing address phone:** (218) 679-3316
- **Mailing address fax:** (218) 679-3990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | MN | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 146N00000X | Basic Emergency Medical Technician | — | MN | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 222710000 | — | MN |