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
24760 HOSPITAL DRIVE, REDLAKE, MN 56671-0249
(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
101YP2500X
Professional Counselor
—
MN
1041C0700X
Clinical Social Worker
—
—
124Q00000X
Dental Hygienist
—
—
146N00000X
Basic Emergency Medical Technician
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222710000
—
MN
Enumeration date
01/31/2007
Last updated
05/20/2008
Update your record
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