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Organization Active NPI

Red Lake Department of Family and Children Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Red Lake, MN
National Provider Identifier
1376753160
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
0001324 Issued in MN
Legal business name
RED LAKE DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Practice address
13586 Tribal Agency Street
Redlake, MN 56671-0427
Phone
(218) 679-2122
Fax
(218) 679-2929
NPI assigned
May 23, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sandra Parsons, PHD
Title
Executive Director
Phone
(218) 679-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 0001324 MN Primary

Addresses

Primary practice location

13586 Tribal Agency Street
Redlake, MN 56671-0427

Mailing address

PO Box 427
Redlake, MN 56671-0427
Phone (218) 679-2122

National Provider Directory

National Provider Directory
Tax ID family
Nacc Tribal Health Services28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1376753160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "REDLAKE",
            "state": "MN",
            "postal_code": "566710427",
            "telephone_number": "218-679-2122",
            "fax_number": "218-679-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13586 TRIBAL AGENCY STREET",
            "city": "REDLAKE",
            "state": "MN",
            "postal_code": "566710427",
            "telephone_number": "218-679-2122",
            "fax_number": "218-679-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED LAKE DEPARTMENT OF FAMILY AND CHILDREN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-679-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MN",
            "license": "0001324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.