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Phs Indian Hospital

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, MN · enumerated 2007 · authorized official Jan Thunder, Business Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063549822

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Phs Indian Hospital
Other name <Unavail>
Practice address 24670 Hospital Drive, Red Lake, MN, 56671
Fax (218) 679-0189
Enumeration date Feb 28, 2007
Last updated in NPPES Jan 19, 2024

Taxonomy & classification

332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License 2604653 (MN) Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0002X Clinic Pharmacy Suppliers Secondary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Jan Thunder
Title Business Office Manager

Other identifiers

Identifier Type State Issuer
2046533 Other - PK
476753500 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Phs Indian Hospital?
The NPI for Phs Indian Hospital is 1063549822, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Phs Indian Hospital?
NPPES lists Jan Thunder (Business Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-19.