LEECH LAKE RESERVATION is a federally qualified health center (fqhc) clinic center in Cass Lake, MN. LEECH LAKE RESERVATION NPI is 1639368863. The provider is registered as an organization entity type. The provider Other Name Is Tribal Health/non-ihs.
The provider's business location address is:
115 6TH ST NE SUITE E CASS LAKE, MN ZIP 56633-428 Phone: (218) 335-4500 Fax: (218) 335-4513
The provider's authorized official is Joel Bebeau . The authorized official title is Interim Health Director and has the following contact phone number (218) 335-4500.
The enumeration date for this NPI number is 10/24/2007 and was last updated on 10/24/2007.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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