Organization
LEECH LAKE BAND OF OJIBWE
Active
Organization
LEECH LAKE BAND OF OJIBWE
Active
Other names
Leech Lake Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
EARL ROBINSON (LEECH LAKE HUMAN SERVICES DIRECTOR)
(218) 335-8295
Entity
Organization
Contact information
Practice address
16123 GRANT UTLEY AVE NW, CASS LAKE, MN 56633
(218) 335-3050
(218) 335-4410
Mailing address
115 6TH STREET NW, STE. E, CASS LAKE, MN 56633
(218) 335-3050
(218) 335-4410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
19439
MN
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MN
Other
Enumeration date
04/18/2011
Last updated
02/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up