Organization · Type 2 NPI
Leech Lake Band of Ojibwe
Federally Qualified Health Center (FQHC) · Cass Lake, MN
NPI number
1275823742
Active
Practice location
16123 Grant Utley Ave NW
Cass Lake, MN 56633
Fax (218) 335-4410
Mailing address
115 6th Street NW, Ste. E
Cass Lake, MN 56633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 19439 (MN) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Cass Lake
About NPI 1275823742
Leech Lake Band of Ojibwe's National Provider Identifier is 1275823742, issued on Apr 18, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cass Lake, MN. The record was last updated on Feb 28, 2020.