Red Lake Medication Assisted Recovery Services

LBN: Red Lake Medication Assisted Recovery Services
Red Lake Medication Assisted Recovery Services is an health care organization with primary practice located at 24760 Hospital Drive , Red Lake MN 56671. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Red Lake Medication Assisted Recovery Services can be contacted via phone (218) 679-3995, or through Beasley, Salena Leigh via phone (218) 679-1543.

Contact Information

Primary practice address
24760 Hospital Drive Red Lake MN 56671
Phone: (218) 679-3995
Fax: (218) 679-3976
Website:
Map and Directions
Authorized official contact:
Name: Beasley, Salena Leigh
Phone: (218) 679-1543

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1902325426
LBN Legal business name Red Lake Medication Assisted Recovery Services
DBA Doing business as
Authorized official Beasley, Salena Leigh
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 15th, 2017
Last updated Sep 15th, 2017 - about 7 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 1902325426 NPPES
Minnesota Other 1002 TRIBAL LICENSE

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