| Red Lake Outpatient Program | |
|
15797 Main Ave Hwy 1 Redlake MN 56671-0114 | |
| (218) 679-3392 | |
| (218) 679-3976 |
| Full Name | Red Lake Outpatient Program |
|---|---|
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location | 15797 Main Ave, Redlake, Minnesota |
| Authorized Official Name and Position | Salena L Branchaud (PROGRAM MANGER) |
| Authorized Official Contact | 2186793392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Lake Outpatient Program Po Box 114 Redlake MN 56671-0114 Ph: (218) 679-3392 | Red Lake Outpatient Program 15797 Main Ave Hwy 1 Redlake MN 56671-0114 Ph: (218) 679-3392 |
| NPI Number | 1881802411 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881802411 | NPI | - | NPPES |
| 627635100 | Medicaid | MN |
Red Lake Family & Children Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15816 Agency Street, Redlake, MN 56671 Phone: 218-679-2122 Fax: 218-679-2929 | |
Phs Indian Hospital-behavior Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Po Box 497, Redlake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181 | |
Red Lake Comprehensive Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24760 Hospital Drive, Redlake, MN 56671 Phone: 218-679-3316 Fax: 218-679-3990 |