Red Lake Homeless Shelter Inc.

LBN: Red Lake Homeless Shelter Inc.
Red Lake Homeless Shelter Inc. is an health care organization with primary practice located at 15855 Main Ave , Red Lake MN 56671. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, 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 Homeless Shelter Inc. can be contacted via phone (218) 679-3228, or through May, Jordan via phone (218) 679-3228.

Contact Information

Primary practice address
15855 Main Ave Red Lake MN 56671
Phone: (218) 679-3228
Fax:
Website:
Map and Directions
Authorized official contact:
Name: May, Jordan
Phone: (218) 679-3228

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1063030419
LBN Legal business name Red Lake Homeless Shelter Inc.
DBA Doing business as
Authorized official May, Jordan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2020
Last updated Jul 13th, 2020 - about 4 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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