LEECH LAKE RESERVATION-HEALTH
NPI 1194909085
Public Health or Welfare in Cass Lake, MN
NPI Status: Active since December 27, 2007
Contact Information
120 2ND ST NW
CASS LAKE, MN
ZIP 56633
Phone: (218) 335-4500
Fax: (218) 335-4513
- Organization
- Public Health or Welfare
- CLIA Number: 24D0677641
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 05-11-2027
About LEECH LAKE RESERVATION-HEALTH
This page provides the complete NPI Profile along with additional information for Leech Lake Reservation-health, a provider established in Cass Lake, Minnesota operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1194909085 assigned on December 2007. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Leech Lake Reservation-health. The authorized official of this NPI record is Joel Bebeau (Interim Director)
- NPI
- 1194909085
- Provider Legal Name
- LEECH LAKE BAND OF OJIBWE
- Other Organization Name
- LEECH LAKE RESERVATION-HEALTH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 120 2ND ST NW CASS LAKE, MN 56633
- Location Phone
- (218) 335-4500
- Location Fax
- (218) 335-4513
- Mailing Address
- 115 6TH ST. NW SUITE E CASS LAKE, MN 56633
- Mailing Phone
- (218) 335-4500
- Mailing Fax
- (218) 335-4513
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2007
- Last Update Date
- 12-27-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 3 | 332U00000X | Suppliers | Home Delivered Meals | |
| 4 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| 5 | 347C00000X | Transportation Services | Private Vehicle |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0677641
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- May 12, 2025
- Certificate Expiration Date
- May 11, 2027
- Laboratory Director
- RACHEL BRIST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Leech Lake Reservation-health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194909085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194909085, enumerated as an "organization" on December 27, 2007.
The provider is located at 120 2ND ST NW CASS LAKE, MN 56633 and the phone number is (218) 335-4500.
Public Health or Welfare with taxonomy code 251K00000X.
