institution
Leech Lake Reservation
Federally Qualified Health Center (FQHC) in Cass Lake, Minnesota
NPI 1639368863

Leech Lake Reservation is a Federally Qualified Health Center (FQHC) based in Cass Lake, MN and is specialized in Federally Qualified Health Center (FQHC). Leech Lake Reservation practices in Cass Lake, MN. The NPI Number for Leech Lake Reservation is 1639368863 and holds a License No. (Minnesota).

The current practice location address for Leech Lake Reservation is 115 6Th St Ne, Cass Lake, MN and can be reached out via phone at 218-335-4500 and via fax at 218-335-4513.

Location: 115 6Th St Ne, Cass Lake, MN, 56633-3428
institution
Provider Profile Details
NPI Number
1639368863
Provider Name
Leech Lake Reservation
Credential
Provider Entity Type
Organization
Address
115 6Th St Ne, Cass Lake, MN, 56633-3428
Phone Number
218-335-4500
Fax Number
218-335-4513
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 6Th St Ne
City
State
Zip
56633-3428
Phone Number
218-335-4500
Fax Number
218-335-4513
person
Provider Business Mailing Address Details
Address
115 6Th St Ne
City
State
Zip
56633-3428
Phone Number
218-335-4500
Fax Number
218-335-4513
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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