Red Lake Chemical Health Programs
Substance Abuse Rehabilitation Facility
15797 Main Ave, Red Lake
Minnesota, 56671-0114
218-679-3331 218-679-3302
Red Lake Chemical Health Programs is a Substance Abuse Rehabilitation Facility in Red Lake, Minnesota. This organization is also known as sub part of Red Lake Chemical Health Programs. It is located at 15797 Main Ave, Red Lake and it's customer support contact number is 218-679-3331. The authorized person of Red Lake Chemical Health Programs is Reyna Cruz Gonzalez-rivera who is Project Director of the pharmacy and his contact number is 218-679-3392.
Red Lake Chemical Health Programs is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Pharmacy Details:
Red Lake Chemical Health Programs type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Red Lake Chemical Health Programs |
| Type: | Substance Abuse Rehabilitation Facility |
| Location: | 15797 Main Ave, Red Lake,
Minnesota, 56671-0114 |
| Phone: | 218-679-3331 |
| Fax: | 218-679-3302 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Reyna Cruz Gonzalez-rivera |
| Position: | Project Director |
| Contact Number: | 218-679-3392 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1700394640 |
| Parent Organization: | Red Lake Chemical Health Programs |
| NPI Enumeration Date: | 12 Jan, 2018 |
| NPI Last Update On: | 19 Mar, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Red Lake Chemical Health Programs are as mentioned below.
| Specialization | License Number | State | Status | |
| Substance Abuse Rehabilitation Facility | | | Primary | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1003 | Other | Minnesota | Tribal License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | P.o. Box 114,
Red Lake, Minnesota |
| Zip: | 56671 |
| Phone Number: | -- |
Patients can reach Red Lake Chemical Health Programs at
15797 Main Ave, Red Lake, Minnesota or can
call on customer care at 218-679-3331.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.