Leech Lake Adolescent Outpatient Services

LBN: Leech Lake Band Of Ojibwe
Leech Lake Adolescent Outpatient Services is an health care organization with primary practice located at 321 2Nd St , Cass Lake MN 56633. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Leech Lake Band Of Ojibwe can be contacted via phone (218) 335-8382, or through Robinson, Earl via phone (218) 335-8295.

Contact Information

Primary practice address
321 2Nd St Cass Lake MN 56633
Phone: (218) 335-8382
Fax: (218) 335-3580
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Earl
Phone: (218) 335-8295

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1215341094
LBN Legal business name Leech Lake Band Of Ojibwe
DBA Doing business as Leech Lake Adolescent Outpatient Services
Authorized official Robinson, Earl
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2014
Last updated Jan 31st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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