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Leech Lake Band Of Ojibwe
Federally Qualified Health Center (FQHC) in Cass Lake, Minnesota
NPI 1275823742

Leech Lake Band Of Ojibwe is a Federally Qualified Health Center (FQHC) based in Cass Lake, MN and is specialized in Federally Qualified Health Center (FQHC). Leech Lake Band Of Ojibwe practices in Cass Lake, MN. The NPI Number for Leech Lake Band Of Ojibwe is 1275823742 and holds a License No. 19439 (Minnesota).

The current practice location address for Leech Lake Band Of Ojibwe is 16123 Grant Utley Ave Nw, Cass Lake, MN and can be reached out via phone at 218-335-3050 and via fax at 218-335-4410. You can also correspond with Leech Lake Band Of Ojibwe through the mailing address at 115 6TH STREET NW, STE. E, CASS LAKE, MN - 56633 (mailing address contact number: 218-335-3050).

Location: 16123 Grant Utley Ave Nw, Cass Lake, MN, 56633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275823742
Provider Name
Leech Lake Band Of Ojibwe
Credential
Provider Entity Type
Organization
Address
16123 Grant Utley Ave Nw, Cass Lake, MN, 56633
Phone Number
218-335-3050
Fax Number
218-335-4410
Provider Enumeration Date
04/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16123 Grant Utley Ave Nw
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-3050
Fax Number
218-335-4410
person
Provider Business Mailing Address Details
Address
16123 Grant Utley Ave Nw
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-3050
Fax Number
218-335-4410
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Minnesota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
19439 (Minnesota)
Definition
Definition to come...
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