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Organization
LEECH LAKE TRIBAL COUNCIL
Active
Organization
LEECH LAKE TRIBAL COUNCIL
Active
Other names
Leech Lake Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
LEECH LAKE TRIBAL COUNCIL (TRIBAL COUNCIL MEMBERS)
(218) 335-8200
Entity
Organization
Contact information
Practice address
115 6TH ST. NW, SUITE E, CASS LAKE, MN 56633
(218) 335-6363
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83080LE
BCBS
MN
Enumeration date
07/28/2006
Last updated
04/18/2008
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