NPIMap

Organization Active NPI

Red Lake Comprehensive Health Services

  • Basic Emergency Medical Technician
  • Red Lake, MN
National Provider Identifier
1841337326
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
Legal business name
RED LAKE COMPREHENSIVE HEALTH SERVICES
Practice address
24760 Hospital Drive
Redlake, MN 56671-0249
Phone
(218) 679-3316
Fax
(218) 679-3990
NPI assigned
Jan 31, 2007
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Oran D. Beaulieu
Title
Tribal Health Director
Phone
(218) 679-3316

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MN
Clinical Social Worker 1041C0700X
Dental Hygienist 124Q00000X
Basic Emergency Medical Technician 146N00000X MN Primary

Addresses

Primary practice location

24760 Hospital Drive
Redlake, MN 56671-0249

Mailing address

PO Box 249
Redlake, MN 56671-0249
Phone (218) 679-3316

Other identifiers 1

IdentifierTypeStateIssuer
222710000MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Red Lake Comprehensive Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1841337326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "REDLAKE",
            "state": "MN",
            "postal_code": "566710249",
            "telephone_number": "218-679-3316",
            "fax_number": "218-679-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24760 HOSPITAL DRIVE",
            "city": "REDLAKE",
            "state": "MN",
            "postal_code": "566710249",
            "telephone_number": "218-679-3316",
            "fax_number": "218-679-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED LAKE COMPREHENSIVE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "ORAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "TRIBAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "218-679-3316"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222710000",
            "state": "MN"
        }
    ],
    "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 May 20, 2008; 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.