OrganizationActive
Ponemah Clinic
NPI 1760680300 · Health Service Clinic/Center · Red Lake, MN
Ponemah Clinic is a Health Service Clinic/Center organization in Red Lake, MN (NPI 1760680300).
Provider details
- NPI number
- 1760680300
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Dudley, Medical Staff Coor.(218) 679-3912
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
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
Hwy 1
Box 497
Red Lake, MN 56671
Phone: (218) 679-3912
Fax: (218) 679-0181
Approximate (ZIP-level) locationGet directions
Mailing address
Hwy 1
Red Lake, MN 56671
Registry dates
- Enumerated
- 2007-07-05
- Last updated
- 2008-08-14
Frequently asked questions
- What is Ponemah Clinic's NPI number?
- Ponemah Clinic's National Provider Identifier (NPI) is 1760680300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponemah Clinic?
- Ponemah Clinic is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ponemah Clinic located?
- Ponemah Clinic's practice location on file with NPPES is Hwy 1, Red Lake, MN 56671.
- What is Ponemah Clinic's phone number?
- The practice phone number listed in the NPPES registry for Ponemah Clinic is (218) 679-3912.
- Who is the authorized official for Ponemah Clinic?
- The authorized official listed on Ponemah Clinic's NPPES record is Kathleen Dudley, Medical Staff Coor.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponemah Clinic's NPI active?
- Yes — Ponemah Clinic's NPI (1760680300) is active in the NPPES registry as of the last update on 2008-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.