LEECH LAKE OPIATE TREATMENT PROGRAM
NPI 1578627451
Preferred Provider Organization in Cass Lake, MN

Q: What is Leech Lake Opiate Treatment Program's NPI number?

The NPI number for Leech Lake Opiate Treatment Program is 1578627451. It was assigned to this organization in the NPPES registry on December 21, 2006.

Q: What is Leech Lake Opiate Treatment Program's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since December 21, 2006

110 BALSAM AVE. NW, CASS LAKE, MN 56633(218) 335-4514(218) 335-4580 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Leech Lake Opiate Treatment Program NPPES

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

LEECH LAKE OPIATE TREATMENT PROGRAM (NPI 1578627451) is a healthcare organization registered as a preferred provider organization in Cass Lake, Minnesota and active in the NPI registry since December 2006. The organization lists Earlene Buffalo, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1578627451

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameLEECH LAKE OPIATE TREATMENT PROGRAM

Location Address110 BALSAM AVE. NWCass Lake, MN 56633

Mailing Address115 6th St. Nw, Suite ECass Lake, MN 56633 · (218) 335-4514 · Fax (218) 335-4580

Phone(218) 335-4514

Fax(218) 335-4580

Organization SubpartNo

Authorized OfficialEarlene BuffaloProgram Manager · (218) 335-8304

Enumeration DateDecember 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1578627451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

110 BALSAM AVE. NW, Cass Lake, MN 56633

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEECH LAKE OPIATE TREATMENT PROGRAM

Preferred Provider Organization

110 BALSAM AVE. NW
CASS LAKE, MN 56633

Cass County (218) 335-4514

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 Opiate Treatment Program's NPI number?

The NPI number for Leech Lake Opiate Treatment Program is 1578627451. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Leech Lake Opiate Treatment Program located?

Leech Lake Opiate Treatment Program is located at 110 Balsam Ave. NW, Cass Lake, MN 56633. The listed phone number is (218) 335-4514.

What is Leech Lake Opiate Treatment Program's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Leech Lake Opiate Treatment Program was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.