Red Lake Homeless Shelter Inc.
NPI 1063030419 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Red Lake, MN
Red Lake Homeless Shelter Inc. is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy organization in Red Lake, MN (NPI 1063030419).
Provider details
- NPI number
- 1063030419
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Parent organization
- Red Lake Band of Chippewa Indians
- Organization subpart
- Yes
- Authorized official
- Jordan May, Executive Director(218) 679-3228
Specialties & taxonomies
Suppliers
- Case Management Agency251B00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-13
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Red Lake Homeless Shelter Inc.'s NPI number?
- Red Lake Homeless Shelter Inc.'s National Provider Identifier (NPI) is 1063030419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Red Lake Homeless Shelter Inc.?
- Red Lake Homeless Shelter Inc. is classified in the NPPES registry as Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Suppliers).
- Where is Red Lake Homeless Shelter Inc. located?
- Red Lake Homeless Shelter Inc.'s practice location on file with NPPES is 15855 Main Ave, Red Lake, MN 56671.
- What is Red Lake Homeless Shelter Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Red Lake Homeless Shelter Inc. is (218) 679-3228.
- Who is the authorized official for Red Lake Homeless Shelter Inc.?
- The authorized official listed on Red Lake Homeless Shelter Inc.'s NPPES record is Jordan May, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Red Lake Homeless Shelter Inc.'s NPI active?
- Yes — Red Lake Homeless Shelter Inc.'s NPI (1063030419) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.