TRIBAL HEALTH/NON-IHS
NPI 1639368863
Clinic/Center - Federally Qualified Health Center (FQHC) in Cass Lake, MN

Q: What is Leech Lake Reservation's NPI number?

The NPI number for Leech Lake Reservation is 1639368863. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is also known as Tribal Health/Non-Ihs.

Q: What is Leech Lake Reservation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since October 24, 2007

115 6TH ST NE, SUITE E, CASS LAKE, MN 56633(218) 335-4500(218) 335-4513 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tribal Health/non-ihs NPPES

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

TRIBAL HEALTH/NON-IHS (NPI 1639368863) is a healthcare organization registered as a federally qualified health center (fqhc) in Cass Lake, Minnesota and active in the NPI registry since October 2007. The organization lists Joel Bebeau, Interim Health Director, as its authorized official.

NPPES Registry Identity

NPI1639368863

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLEECH LAKE RESERVATION

Location Address115 6TH ST NE, SUITE ECass Lake, MN 56633-3428

Mailing Address115 6th St Ne, Suite ECass Lake, MN 56633-3428 · (218) 335-4500 · Fax (218) 335-4513

Phone(218) 335-4500

Fax(218) 335-4513

Organization SubpartYesParent: Leech Lake Band Of Ojibwe

Authorized OfficialJoel BebeauInterim Health Director · (218) 335-4500

Enumeration DateOctober 24, 2007

✔ NPI 1639368863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

115 6TH ST NE, Cass Lake, MN 56633

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Other Names 1

Other NameTribal Health/non-ihs

Other Providers at the Same Location NPPES 10

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

ROBERT EDWARD ROED MOTR/L

Occupational Therapist (Hand)

115 6TH ST NE, SUITE E
CASS LAKE, MN 56633

Cass County (218) 334-4511

ROBERTA J DECKER LPN

Licensed Practical Nurse