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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