Leech Lake Tribal Council

LBN: Leech Lake Tribal Council
Leech Lake Tribal Council is an health care organization with primary practice located at 115 6Th St Ne , Cass Lake MN 56633-3428. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Leech Lake Tribal Council can be contacted via phone (218) 335-4500, or through Bebeau, Joel D via phone (218) 335-4500.

Contact Information

Primary practice address
115 6Th St Ne Cass Lake MN 56633-3428
Phone: (218) 335-4500
Fax: (218) 335-4547
Website:
Map and Directions
Authorized official contact:
Name: Bebeau, Joel D
Phone: (218) 335-4500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1942310875
LBN Legal business name Leech Lake Tribal Council
DBA Doing business as
Authorized official Bebeau, Joel D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 30th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942310875 NPPES
Minnesota MEDICAID 640717000

Popular Providers