Red Lake Comprehensive Health Services

LBN: Red Lake Comprehensive Health Services
Red Lake Comprehensive Health Services is an health care organization with primary practice located at 24760 Hospital Drive , Redlake MN 56671-0249. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dental Hygienist, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Emergency Medical Service Providers / Emergency Medical Technician, Basic is the primary health care specialty. Red Lake Comprehensive Health Services can be contacted via phone (218) 679-3316, or through Beaulieu, Oran D. via phone (218) 679-3316.

Contact Information

Primary practice address
24760 Hospital Drive Redlake MN 56671-0249
Phone: (218) 679-3316
Fax: (218) 679-3990
Website:
Map and Directions
Authorized official contact:
Name: Beaulieu, Oran D.
Phone: (218) 679-3316

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dental Providers / Dental Hygienist 124Q00000X
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X Minnesota

Profile Details

NPI number 1841337326
LBN Legal business name Red Lake Comprehensive Health Services
DBA Doing business as
Authorized official Beaulieu, Oran D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated May 20th, 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 1841337326 NPPES
Minnesota MEDICAID 222710000

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