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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEECH LAKE RESERVATION

Active Organization

LEECH LAKE RESERVATION is a Federally Qualified Health Center organization located in CASS LAKE, Minnesota. NPI 1639368863 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · CASS LAKE, MN

Registration Details

NPI Number
1639368863
Provider Type
Organization
NPI Issued
Oct 24, 2007 (18.79857884287 yrs)
Last Updated
Oct 24, 2007

Practice Information

Address
115 6TH ST NE
SUITE E
CASS LAKE, MN, 566333428
Browse MN providers · Browse ZIP 56633
Phone
2183354500
Fax
2183354513
Primary Specialty
Federally Qualified Health Center
261QF0400X

Other Federally Qualified Health Center Organizations in CASS LAKE, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.