Phs Indian Hospital
NPI 1063549822 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Red Lake, MN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phs Indian Hospital is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy organization in Red Lake, MN (NPI 1063549822).
Provider details
- NPI number
- 1063549822
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jan Thunder, Business Office Manager(218) 679-0148
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 2604653 (MN)
Suppliers
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Red Lake Indian Hospital Pharmacy
- Doing business as
- Red Lake Indian Hospital Pharmacy
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2024-01-19
- Certified
- 2024-01-17
Frequently asked questions
- What is Phs Indian Hospital's NPI number?
- Phs Indian Hospital's National Provider Identifier (NPI) is 1063549822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phs Indian Hospital?
- Phs Indian Hospital is classified in the NPPES registry as Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Suppliers).
- Where is Phs Indian Hospital located?
- Phs Indian Hospital's practice location on file with NPPES is 24670 Hospital Drive, Red Lake, MN 56671.
- What is Phs Indian Hospital's phone number?
- The practice phone number listed in the NPPES registry for Phs Indian Hospital is (218) 679-0173.
- Does Phs Indian Hospital accept Medicare?
- Phs Indian Hospital is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phs Indian Hospital?
- The authorized official listed on Phs Indian Hospital's NPPES record is Jan Thunder, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phs Indian Hospital's NPI active?
- Yes — Phs Indian Hospital's NPI (1063549822) is active in the NPPES registry as of the last update on 2024-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.