Red Lake Kai Shin Sud Outpatient

LBN: Red Lake Kai Shin Sud Outpatient
Red Lake Kai Shin Sud Outpatient is an health care organization with primary practice located at 705 5Th St Nw Ste D , Bemidji MN 56601-2933. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Red Lake Kai Shin Sud Outpatient can be contacted via phone (651) 447-3755, or through Andersen, Charlene via phone (218) 679-1320.

Contact Information

Primary practice address
705 5Th St Nw Ste D Bemidji MN 56601-2933
Phone: (651) 447-3755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Andersen, Charlene
Phone: (218) 679-1320

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1326805581
LBN Legal business name Red Lake Kai Shin Sud Outpatient
DBA Doing business as
Authorized official Andersen, Charlene
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - about 9 months 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

Popular Providers