PHS INDIAN HOSPITAL
PHS INDIAN HOSPITAL is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063549822, based in Red Lake, MN. The organization lists 4 taxonomy classifications, with Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy recorded as primary.
Getting there
The practice address on file is 24670 HOSPITAL DRIVE, Red Lake, MN 56671. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2604653 | MN | Indian Health Service/Tribal/Urban Indian… primary |
This provider holds licence 2604653 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Pharmacy
- PAC ID
- 4789598731
- Enrollment ID
- O20120626000228
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Pharmacy. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy covers
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. NUCC Health Care Provider Taxonomy, code 332800000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2604653 | MN | primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 3336C0002X | Clinic Pharmacy Clinic Pharmacy | — | — | |
| 3336S0011X | Specialty Pharmacy Specialty Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1063549822 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 28, 2007 |
| Last updated | Jan 19, 2024 |
| Status | Active |
| Practice address |
24670 HOSPITAL DRIVE Red Lake, MN 56671 (218) 679-0173 Fax (218) 679-0189 |
| Mailing address |
4100 W. 150TH ST LB: 95419 Cleveland, OH 44135 |
| Other identifiers |
2046533
· Other 476753500 · Medicaid (MN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 6 | 3 | 5 | 4 | 9 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 3 | 3 | 1 | 4 | 9 | 8 | 4 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.