OrganizationActive
Red Lake Chemical Health Programs
NPI 1578070991 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Redby, MN
Provider details
- NPI number
- 1578070991
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Reyna Gonzalez-Rivera, Project Director(218) 679-3392
Specialties & taxonomies
Suppliers
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
15566 Dakota Avenue
Redby, MN 56670
Phone: (218) 679-3387
Fax: (218) 679-2375
Street-level locationGet directions
Mailing address
P.o. Box 114
Red Lake, MN 56671
Other names (DBA / former)
- Former legal business name
- Ooski-Kii-Mii-Kah Halfway House
Registry dates
- Enumerated
- 2018-01-08
- Last updated
- 2019-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.