| Leech Lake Tribal Council | |
|
115 6th St Ne Cass Lake MN 56633-3428 | |
| (218) 335-4500 | |
| (218) 335-4547 |
| Full Name | Leech Lake Tribal Council |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 6th St Ne, Cass Lake, Minnesota |
| Authorized Official Name and Position | Joel D Bebeau (HEALTH DIRECTOR) |
| Authorized Official Contact | 2183354500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leech Lake Tribal Council 115 6th St Ne Cass Lake MN 56633-3428 Ph: (218) 335-4500 | Leech Lake Tribal Council 115 6th St Ne Cass Lake MN 56633-3428 Ph: (218) 335-4500 |
| NPI Number | 1942310875 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/30/2010 |
| Medicare PECOS PAC ID | 1951460294 |
|---|---|
| Medicare Enrollment ID | O20081031000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942310875 | NPI | - | NPPES |
| 640717000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Department Of Human Services &phs, Ihs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 | |
Leech Lake Adolescent Outpatient Services 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 | |
Bamenim Anishinabe, Tribal Court 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 | |
Tribal Health/non-ihs 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 Bemidji Cass Lake Clinic 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 |