LEECH LAKE BAND OF OJIBWE – NPI #1962610824
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

LEECH LAKE BAND OF OJIBWE is a substance abuse rehabilitation facility located in CASS LAKE, MN. NPPES has assigned the NPI number 1962610824 to LEECH LAKE BAND OF OJIBWE on May 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEECH LAKE BAND OF OJIBWE below.

NPI Profile for
LEECH LAKE BAND OF OJIBWE

NPI Number
1962610824
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEECH LAKE BAND OF OJIBWE
Primary location
115 SIXTH STREET NORTHWEST
6905 161ST STREET
CASS LAKE, MN 56633
Phone: (218) 335-8303 Fax: (218) 335-8307
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE GOGGLEYE
CHAIRMAN
Phone: (218) 335-8200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.