Organization
LEECH LAKE TRIBAL COUNCIL
Active
Organization
LEECH LAKE TRIBAL COUNCIL
Active
Other names
Bamenim Anishinabe, Tribal Court
Organization subpart
No
Provider details
NPI number
Authorized official
CARRI JONES (TRIBAL CHAIRMAN)
(218) 335-8200
Entity
Organization
Contact information
Practice address
115 6TH ST NW STE E, CASS LAKE, MN 56633-3428
(218) 335-4446
(218) 335-3685
Mailing address
115 6TH ST NW STE E, CASS LAKE, MN 56633-3428
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
302091
MN
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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