Leech Lake Opiate Treatment Program
NPI 1053478164 · Preferred Provider Organization · Cass Lake, MN
Leech Lake Opiate Treatment Program is a Preferred Provider Organization organization in Cass Lake, MN (NPI 1053478164).
Provider details
- NPI number
- 1053478164
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Earlene Buffalo, Program Manager(218) 335-8304
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Leech Lake Opiate Treatment Program's NPI number?
- Leech Lake Opiate Treatment Program's National Provider Identifier (NPI) is 1053478164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leech Lake Opiate Treatment Program?
- Leech Lake Opiate Treatment Program is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Leech Lake Opiate Treatment Program located?
- Leech Lake Opiate Treatment Program's practice location on file with NPPES is 110 Balsam Ave. Nw, Cass Lake, MN 56633.
- What is Leech Lake Opiate Treatment Program's phone number?
- The practice phone number listed in the NPPES registry for Leech Lake Opiate Treatment Program is (218) 335-4514.
- Who is the authorized official for Leech Lake Opiate Treatment Program?
- The authorized official listed on Leech Lake Opiate Treatment Program's NPPES record is Earlene Buffalo, Program Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leech Lake Opiate Treatment Program's NPI active?
- Yes — Leech Lake Opiate Treatment Program's NPI (1053478164) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.