Organization
RED LAKE COMPREHENSIVE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORAN D BEAULIEU (TRIBAL HEALTH DIRECTOR)
(218) 679-3316
Entity
Organization
Contact information
Practice address
24809 HOSPITAL DRIVE, HIGHWAY 1, REDLAKE, MN 56671
(218) 679-3316
(218) 679-3990
Mailing address
PO BOX 249, REDLAKE, MN 56671-0249
(218) 679-3316
(218) 679-3990
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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