LEECH LAKE TRIBAL COUNCIL NPI 1942310875

NPI Information

  • NPI: 1942310875
  • Provider Name: LEECH LAKE TRIBAL COUNCIL
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 115 6TH ST NE
    CASS LAKE, MN
    ZIP 56633
  • Phone: (218) 335-4500

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NPI Details

LEECH LAKE TRIBAL COUNCIL is a federally qualified health center (fqhc) clinic center in Cass Lake, MN. LEECH LAKE TRIBAL COUNCIL NPI is 1942310875. The provider is registered as an organization entity type.

The provider's business location address is:

115 6TH ST NE
CASS LAKE, MN
ZIP 56633-428
Phone: (218) 335-4500
Fax: (218) 335-4547

The provider's authorized official is Joel D Bebeau .
The authorized official title is Health Director and has the following contact phone number (218) 335-4500.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/30/2010.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1241818MEDICARE PINMINNESOTA
2640717000MEDICAIDMINNESOTA

What is NPI?

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: 11/21/2025

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