Ooski-Kii-Mii-Kah Halfway House

LBN: Red Lake Chemical Health Programs
Ooski-Kii-Mii-Kah Halfway House is an health care organization with primary practice located at 15566 Dakota Avenue , Redby MN 56670. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Red Lake Chemical Health Programs can be contacted via phone (218) 679-3387, or through Gonzalez-Rivera, Reyna Cruz via phone (218) 679-3392.

Contact Information

Primary practice address
15566 Dakota Avenue Redby MN 56670
Phone: (218) 679-3387
Fax: (218) 679-2375
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez-Rivera, Reyna Cruz
Phone: (218) 679-3392

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1578070991
LBN Legal business name Red Lake Chemical Health Programs
DBA Doing business as Ooski-Kii-Mii-Kah Halfway House
Authorized official Gonzalez-Rivera, Reyna Cruz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2018
Last updated Mar 20th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578070991 NPPES
Minnesota MEDICAID 649755100

Popular Providers