Organization · Type 2 NPI
Leech Lake Band of Ojibwe
Public Health or Welfare Agency · Cass Lake, MN
NPI number
1194909085
Active
Practice location
120 2nd St NW
Cass Lake, MN 56633
Fax (218) 335-4513
Mailing address
115 6th St. NW, Suite E
Cass Lake, MN 56633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Home Delivered Meals | 332U00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
Public Health or Welfare Agency: Definition to come...
About NPI 1194909085
Leech Lake Band of Ojibwe's National Provider Identifier is 1194909085, issued on Dec 27, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Cass Lake, MN. The record was last updated on Dec 27, 2007.