Phs Indian Hospital

LBN: Phs Indian Hospital
Phs Indian Hospital is an health care organization with primary practice located at Hwy 1 Hospital Dr Box 497, Red Lake MN 56671-0497. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Phs Indian Hospital can be contacted via phone (218) 679-3912, or through Thunder, Janice Marie via phone (218) 679-3912.

Contact Information

Primary practice address
Hwy 1 Hospital Dr Box 497 Red Lake MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
Map and Directions
Authorized official contact:
Name: Thunder, Janice Marie
Phone: (218) 679-3912

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X Minnesota

Profile Details

NPI number 1508809765
LBN Legal business name Phs Indian Hospital
DBA Doing business as Phs Indian Hospital
Authorized official Thunder, Janice Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508809765 NPPES
Minnesota Other 5A54HPU BC/BS OF MN
Minnesota Other 25F45RE BC/BS OF MN
Minnesota MEDICAID 476753500 BC/BS OF MN

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