LEECH LAKE BAND OF OJIBWE – NPI #1679781116
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

LEECH LAKE BAND OF OJIBWE is a substance abuse rehabilitation facility located in CASS LAKE, MN. NPPES has assigned the NPI number 1679781116 to LEECH LAKE BAND OF OJIBWE on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

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
1679781116
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
SUITE E
CASS LAKE, MN 56633
Phone: (218) 335-8308 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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (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.