NPIMap

Organization Active NPI

Red Lake Band of Chippewa Indians

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Minneapolis, MN
National Provider Identifier
1689225351
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
RED LAKE BAND OF CHIPPEWA INDIANS
Practice address
1900 Chicago Ave
Minneapolis, MN 55404-1903
Phone
(218) 679-1455
Fax
(651) 383-4937
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Charlene Andersen
Title
Billing Director
Phone
(218) 679-1320

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Multi-Specialty Clinic/Center 261QM1300X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

1900 Chicago Ave
Minneapolis, MN 55404-1903

Mailing address

PO Box 566
Red Lake, MN 56671-0566
Phone (218) 679-1320

Other practice location 1

2115 Cedar Ave S
Minneapolis, MN 55404-3102
Phone (218) 679-1320

Other names 6

  • Helix Other name
  • Housing Matters Other name
  • Kai Shin Medical Other name
  • MHR Other name
  • Red Lake Partnership Services Other name
  • Red Lake Urban Avivo Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Red Lake Chemical Health Programs Outpatient28 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": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1689225351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "566710566",
            "telephone_number": "218-679-1320",
            "fax_number": "651-383-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041903",
            "telephone_number": "218-679-1455",
            "fax_number": "651-383-4937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Cedar Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043102",
            "country_code": "US",
            "telephone_number": "218-679-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED LAKE BAND OF CHIPPEWA INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "218-679-1320"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helix",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Housing Matters",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kai Shin Medical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MHR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Red Lake Partnership Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Red Lake Urban Avivo Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.