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Red Lake Avivo Sud Tribal Health Services

Substance Abuse Rehabilitation Facility in Minneapolis, MN · enumerated 2024 · authorized official Charlene Andersen, Revenue Manger.

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

National Provider Identifier

1740042654

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Registry record

Entity type Organization (Type 2)
Legal business name Red Lake Avivo Sud Tribal Health Services
Practice address 1900 Chicago Ave S, Minneapolis, MN, 55404
Enumeration date Jan 25, 2024
Last updated in NPPES Jan 25, 2024

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Charlene Andersen
Title Revenue Manger

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.

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Frequently asked questions

What is the NPI number for Red Lake Avivo Sud Tribal Health Services?
The NPI for Red Lake Avivo Sud Tribal Health Services is 1740042654, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Red Lake Avivo Sud Tribal Health Services?
NPPES lists Charlene Andersen (Revenue Manger) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-25.