OrganizationActive
Leech Lake Reservation
NPI 1639368863 · Federally Qualified Health Center (FQHC) · Cass Lake, MN
Provider details
- NPI number
- 1639368863
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Leech Lake Band of Ojibwe
- Organization subpart
- Yes
- Authorized official
- Joel Bebeau, Interim Health Director(218) 335-4500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
115 6th St Ne
Suite E
Cass Lake, MN 56633-3428
Phone: (218) 335-4500
Fax: (218) 335-4513
Street-level locationGet directions
Mailing address
115 6th St Ne
Cass Lake, MN 56633-3428
Other names (DBA / former)
- Other name
- Tribal Health/Non-Ihs
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.