Phs Indian Hospital

NPI #1679099568 in Redlake, Minnesota

Provider Information

NPI Number: 1679099568
Entity Type: Organization
Organization Name: Phs Indian Hospital
Primary Specialty: Psychologist
Enumeration Date: Aug 22, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: PO BOX 497
City: Redlake
State: Minnesota
ZIP Code: 56671-0497
Phone: (218) 679-3912

Authorized Official

Name: JANICE MARIE THUNDER
Title: BUSINESS OFFICE MANAGER
Phone: (218) 679-3912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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