RED LAKE COMPREHENSIVE HEALTH SERVICES
NPI 1841337326
Emergency Medical Technician, Basic in Redlake, MN

NPI Status: Active since January 31, 2007

Contact Information

24760 HOSPITAL DRIVE
REDLAKE, MN
ZIP 56671
Phone: (218) 679-3316
Fax: (218) 679-3990

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  • Organization
  • Emergency Medical Technician, Basic
  • CLIA Number: 24D1049214
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 12-28-2025

About RED LAKE COMPREHENSIVE HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Red Lake Comprehensive Health Services, a provider established in Redlake, Minnesota operating as a Emergency Medical Technician, Basic. The healthcare provider is registered in the NPI registry with number 1841337326 assigned on January 2007. The practitioner's primary taxonomy code is 146N00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Oran D. Beaulieu (Tribal Health Director)

NPI
1841337326
Provider Name
RED LAKE COMPREHENSIVE HEALTH SERVICES
Entity Type
Organization
Location Address
24760 HOSPITAL DRIVE REDLAKE, MN 56671
Location Phone
(218) 679-3316
Location Fax
(218) 679-3990
Mailing Address
PO BOX 249 REDLAKE, MN 56671
Mailing Phone
(218) 679-3316
Mailing Fax
(218) 679-3990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2007
Last Update Date
05-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medical Technician, Basic

Taxonomy Code
146N00000X
Type
Emergency Medical Service Providers
License State
MN
Taxonomy Description
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

(MN)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3124Q00000XDental Providers

Dental Hygienist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ORAN D. BEAULIEU

Authorized Official Title
TRIBAL HEALTH DIRECTOR
Authorized Official Phone
(218) 679-3316

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
222710000MEDICAID (05)MN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D1049214
Facility Type
Other
Certificate Effective Date
December 29, 2023
Certificate Expiration Date
December 28, 2025
Laboratory Director
LAUREL LUSSIER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Red Lake Comprehensive Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for RED LAKE COMPREHENSIVE HEALTH SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841337326
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881631434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 6 + 3 + 1 + 4 + 3 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1841337326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174739098 JENNY BELLE HOLLIS L.I.C.S.W.
Individual
Social Worker (Clinical)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3316
1063727402DR. CHAD WILLIAM FEGAN D.D.S.
Individual
Dentist24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1407132764 LUKE JOSEPH PELTIER PHARMD
Individual
Pharmacist24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1467729111 ANDREA MICHELLE BESTUL RPH, PHARMD
Individual
Pharmacist24760 HOSPITAL DRIVE HOSPITAL
RED LAKE, MN 56671
(218) 679-3912
1740547728COMPREHENSIVE HEALTH SERVICES
Organization
Clinic/Center (Health Service)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3316
1821135377DR. JUAN C RODRIGUEZ D.D.S.
Individual
Dentist24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1548547227DR. ANTHONY JOHN LADNER PHARMD.
Individual
Pharmacist24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-0173
1720495302DR. KARI LYNN JOSEFSON DNP, FNP-BC
Individual
Nurse Practitioner (Family)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1902325426RED LAKE MEDICATION ASSISTED RECOVERY SERVICES
Organization
Community/Behavioral Health24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3995
1942446331MS. ANNA KRISTEN FORD LICSW
Individual
Social Worker (Clinical)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3316
1407866510 SAUNDA ST MARTIN NP, APRN
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)24760 HOSPITAL DRIVE
REDLAKE, MN 56671
(218) 679-3912
1790979391DR. ROSELINE NGOZI IHIM M.D
Individual
Internal Medicine24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1609990027MRS. CHRISTEL SVINGEN PHARM. D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1689092983 ALLAN DEMUTH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-0173
1851617773DR. SHANI LEE SHRIVER PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1326334525 SAMANTHA GUSTAFSON
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-2825
1093261943 BRANDON ANDERSON PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 333-5000
1518587393 KATELYN JO DAHEDL
Individual
Physician Assistant24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1992423164MR. OSCAR JULIUS DEBARDELEBEN
Individual
Clinic/Center (Mental Health (Including Community Mental Health Center))24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-3912
1700414133 VANESSA RYBERG PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)24760 HOSPITAL DRIVE
RED LAKE, MN 56671
(218) 679-2825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841337326, enumerated in the NPI registry as an "organization" on January 31, 2007

The provider is located at 24760 Hospital Drive Redlake, Mn 56671 and the phone number is (218) 679-3316

This medical organization specializes in Emergency Medical Technician, Basic with taxonomy code 146N00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 24D1049214 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.