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Contact Information

LEECH LAKE BAND OF OJIBWE
115 6TH STREET NW
CASS LAKE, MN56633
 Phone: 218-335-8273
 Fax: 218-335-8352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LEECH LAKE BAND OF OJIBWE

NPI Number 1659679843
LBN Legal business name LEECH LAKE BAND OF OJIBWE
Authorized official ROSE ROBINSON - (HUMAN SERVICES DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2011
Last updated 03/11/2011 - About 15 years ago
Identifiers
MN License # 201102
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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