| Leech Lake Band Of Ojibwe | |
|
15353 Silver Eagle Dr Nw Bena MN 56626-3675 | |
| (218) 665-3000 | |
| Not Available |
| Full Name | Leech Lake Band Of Ojibwe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15353 Silver Eagle Dr Nw, Bena, Minnesota |
| Authorized Official Name and Position | Janey Blanchard (MIDDLE SCHOOL PRINCIPAL) |
| Authorized Official Contact | 2186653000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leech Lake Band Of Ojibwe 15353 Silver Eagle Dr Nw Bena MN 56626-3675 Ph: () - | Leech Lake Band Of Ojibwe 15353 Silver Eagle Dr Nw Bena MN 56626-3675 Ph: (218) 665-3000 |
| NPI Number | 1295029817 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 05/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295029817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 19439 (Minnesota) | Primary |