LEECH LAKE BAND OF OJIBWE; NPI #1962610824

Contact Information

LEECH LAKE BAND OF OJIBWE

115 SIXTH STREET NORTHWEST
6905 161ST STREET
CASS LAKE, MN 56633

Phone: 218-335-8303
Fax: 218-335-8307
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for LEECH LAKE BAND OF OJIBWE

NPI #	`1962610824`
LBN Legal business name	LEECH LAKE BAND OF OJIBWE
Authorized official	GEORGE GOGGLEYE - (CHAIRMAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/21/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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