Leech Lake Opiate Treatment Program

LBN: Leech Lake Opiate Treatment Program
Leech Lake Opiate Treatment Program is an health care organization with primary practice located at 110 Balsam Ave. Nw , Cass Lake MN 56633. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Leech Lake Opiate Treatment Program can be contacted via phone (218) 335-4514, or through Buffalo, Earlene via phone (218) 335-8304.

Contact Information

Primary practice address
110 Balsam Ave. Nw Cass Lake MN 56633
Phone: (218) 335-4514
Fax: (218) 335-4580
Website:
Map and Directions
Authorized official contact:
Name: Buffalo, Earlene
Phone: (218) 335-8304

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1053478164
LBN Legal business name Leech Lake Opiate Treatment Program
DBA Doing business as
Authorized official Buffalo, Earlene
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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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