Red Lake Avivo Sud Tribal Health Services
NPI 1740042654 · Substance Abuse Rehabilitation Facility · Minneapolis, MN
Red Lake Avivo Sud Tribal Health Services is a Substance Abuse Rehabilitation Facility organization in Minneapolis, MN (NPI 1740042654).
Provider details
- NPI number
- 1740042654
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charlene Andersen, Revenue Manger(218) 679-1320
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-01-25
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Frequently asked questions
- What is Red Lake Avivo Sud Tribal Health Services's NPI number?
- Red Lake Avivo Sud Tribal Health Services's National Provider Identifier (NPI) is 1740042654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Red Lake Avivo Sud Tribal Health Services?
- Red Lake Avivo Sud Tribal Health Services is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Red Lake Avivo Sud Tribal Health Services located?
- Red Lake Avivo Sud Tribal Health Services's practice location on file with NPPES is 1900 Chicago Ave S, Minneapolis, MN 55404.
- What is Red Lake Avivo Sud Tribal Health Services's phone number?
- The practice phone number listed in the NPPES registry for Red Lake Avivo Sud Tribal Health Services is (612) 752-8106.
- Who is the authorized official for Red Lake Avivo Sud Tribal Health Services?
- The authorized official listed on Red Lake Avivo Sud Tribal Health Services's NPPES record is Charlene Andersen, Revenue Manger. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Red Lake Avivo Sud Tribal Health Services's NPI active?
- Yes — Red Lake Avivo Sud Tribal Health Services's NPI (1740042654) is active in the NPPES registry as of the last update on 2024-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.