OrganizationActive
Leech Lake Band of Ojibwe
NPI 1275823742 · Federally Qualified Health Center (FQHC) · Cass Lake, MN
Provider details
- NPI number
- 1275823742
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Earl Robinson, Leech Lake Human Services Director(218) 335-8295
- License
- 19439 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Practice location
16123 Grant Utley Ave Nw
Cass Lake, MN 56633
Phone: (218) 335-3050
Fax: (218) 335-4410
Approximate (ZIP-level) locationGet directions
Mailing address
115 6th Street Nw, Ste. E
Cass Lake, MN 56633
Other names (DBA / former)
- Doing business as
- Leech Lake Behavioral Health
- Doing business as
- Leech Lake Behavioral Health
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2020-02-28
- Certified
- 2020-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.