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LEECH LAKE RESERVATION-HEALTH
NPI 1194909085
Public Health or Welfare in Cass Lake, MN

Active since December 27, 2007CLIA 24D0677641 · Waiver
120 2ND ST NW, CASS LAKE, MN 56633(218) 335-4500(218) 335-4513 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leech Lake Reservation-health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEECH LAKE RESERVATION-HEALTH (NPI 1194909085) is a healthcare organization registered as a public health or welfare in Cass Lake, Minnesota and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Joel Bebeau, Interim Director, as its authorized official.

NPPES Registry Identity

NPI1194909085
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameLEECH LAKE BAND OF OJIBWE
Location Address120 2ND ST NWCass Lake, MN 56633
Mailing Address115 6th St. Nw, Suite ECass Lake, MN 56633 · (218) 335-4500 · Fax (218) 335-4513
Phone(218) 335-4500
Fax(218) 335-4513
Organization SubpartNo
Authorized OfficialJoel BebeauInterim Director · (218) 335-4500
Enumeration DateDecember 27, 2007
✔ NPI 1194909085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
120 2ND ST NW, Cass Lake, MN 56633
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Other Names 1

Other NameLeech Lake Reservation-health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0677641

Leech Lake Band Of Ojibwe Health Division · Cass Lake, MN
Active · expires May 11, 2027
CLIA Number24D0677641
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorRachel Brist
Laboratory Phone(218) 335-4500
Laboratory LocationLeech Lake Band Of Ojibwe Health Division190 Sail Star Drive NE, Cass Lake, MN 56633
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leech Lake Band Of Ojibwe's NPI number?

The NPI number for Leech Lake Band Of Ojibwe is 1194909085. It was assigned to this organization in the NPPES registry on December 27, 2007. The provider is also known as Leech Lake Reservation-Health.

Where is Leech Lake Band Of Ojibwe located?

Leech Lake Band Of Ojibwe is located at 120 2nd St NW, Cass Lake, MN 56633. The listed phone number is (218) 335-4500.

What is Leech Lake Band Of Ojibwe's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Leech Lake Band Of Ojibwe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0677641) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leech Lake Band Of Ojibwe was last updated on December 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.