| Department Of Human Services &phs, Ihs | |
|
425 7th St Nw Cass Lake MN 56633-3360 | |
| (218) 335-3200 | |
| Not Available |
| Full Name | Department Of Human Services &phs, Ihs |
|---|---|
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location | 425 7th St Nw, Cass Lake, Minnesota |
| Authorized Official Name and Position | Jenny J Jenkins (CEO) |
| Authorized Official Contact | 2183353200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Human Services &phs, Ihs 425 7th St Nw Cass Lake MN 56633-3360 Ph: (218) 335-3200 | Department Of Human Services &phs, Ihs 425 7th St Nw Cass Lake MN 56633-3360 Ph: (218) 335-3200 |
| NPI Number | 1144353343 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144353343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | (Minnesota) | Primary |
Leech Lake Band Of Ojibwe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 2nd St, Cass Lake, MN 56633 Phone: 218-335-8382 Fax: 218-335-3580 | |
Leech Lake Tribal Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 6th St Nw Ste E, Cass Lake, MN 56633 Phone: 218-335-4446 Fax: 218-335-3685 | |
Leech Lake Reservation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 6th St Ne, Suite E, Cass Lake, MN 56633 Phone: 218-335-4500 Fax: 218-335-4513 | |
Sanford Clinic North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Grant Utley Avenue Nw, Cass Lake, MN 56633 Phone: 218-335-2559 Fax: 218-335-2755 | |
Leech Lake Tribal Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 6th St Ne, Cass Lake, MN 56633 Phone: 218-335-4500 Fax: 218-335-4547 |