# LEECH LAKE BAND OF OJIBWE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEECH LAKE RESERVATION-HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194909085
- **Authorized official:** JOEL BEBEAU (INTERIM DIRECTOR)
- **Authorized official phone:** (218) 335-4500

## Contact information

- **Practice address:** 120 2ND ST NW, CASS LAKE, MN 56633
- **Practice address phone:** (218) 335-4500
- **Practice address fax:** (218) 335-4513
- **Mailing address:** 115 6TH ST. NW, SUITE E, CASS LAKE, MN 56633
- **Mailing address phone:** (218) 335-4500
- **Mailing address fax:** (218) 335-4513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 12/27/2007