OrganizationActive
Red Lake Band of Chippewa Indians
NPI 1689225351 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Minneapolis, MN
Provider details
- NPI number
- 1689225351
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Charlene Andersen, Billing Director(218) 679-1320
Specialties & taxonomies
Suppliers
- Case Management Agency251B00000X
Agencies
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
1900 Chicago Ave
Minneapolis, MN 55404-1903
Phone: (218) 679-1455
Fax: (651) 383-4937
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 566
Red Lake, MN 56671-0566
Other names (DBA / former)
- Other name
- Red Lake Partnership Services
- Other name
- Red Lake Urban Avivo Services
Additional practice locations (1)
- 2115 Cedar Ave SMinneapolis, MN 55404-3102Phone: (218) 679-1320
Registry dates
- Enumerated
- 2019-09-24
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.