OrganizationActive
Red Lake Chemical Health Programs Outpatient
NPI 1881802411 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Redlake, MN
Provider details
- NPI number
- 1881802411
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Salena Branchaud, Program Manger(218) 679-3392
Specialties & taxonomies
Suppliers
Behavioral Health & Social Service Providers
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
15797 Main Ave
Hwy 1
Redlake, MN 56671-0114
Phone: (218) 679-3392
Fax: (218) 679-3976
Street-level locationGet directions
Mailing address
Po Box 114
Redlake, MN 56671-0114
Other names (DBA / former)
- Other name
- Red Lake Outpatient Program
- Other name
- Red Lake Outpatient Program
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2019-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.