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Ponemah Clinic

Health Service Clinic/Center in Red Lake, MN · enumerated 2007 · authorized official Kathleen Dudley, Medical Staff Coor..

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

National Provider Identifier

1760680300

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Registry record

Entity type Organization (Type 2)
Legal business name Ponemah Clinic
Practice address Hwy 1, Box 497, Red Lake, MN, 56671
Fax (218) 679-0181
Enumeration date Jul 5, 2007
Last updated in NPPES Aug 14, 2008

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kathleen Dudley
Title Medical Staff Coor.

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 Ponemah Clinic?
The NPI for Ponemah Clinic is 1760680300, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ponemah Clinic?
NPPES lists Kathleen Dudley (Medical Staff Coor.) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-14.