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LEECH LAKE BAND OF OJIBWE
NPI 1679781116
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Cass Lake, MN

Active since May 18, 2007
115 SIXTH STREET NORTHWEST, SUITE E, CASS LAKE, MN 56633(218) 335-8308(218) 335-8307 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leech Lake Band Of Ojibwe NPPES

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

LEECH LAKE BAND OF OJIBWE (NPI 1679781116) is a healthcare organization registered as a substance abuse treatment, children in Cass Lake, Minnesota and active in the NPI registry since May 2007. The organization lists George Goggleye, Chairman, as its authorized official.

NPPES Registry Identity

NPI1679781116
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameLEECH LAKE BAND OF OJIBWE
Location Address115 SIXTH STREET NORTHWEST, SUITE ECass Lake, MN 56633
Mailing Address115 Sixth Street Northwest, Suite ECass Lake, MN 56633 · (218) 335-8308 · Fax (218) 335-8307
Phone(218) 335-8308
Fax(218) 335-8307
Organization SubpartNo
Authorized OfficialGeorge GoggleyeChairman · (218) 335-8200
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679781116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
115 SIXTH STREET NORTHWEST, Cass Lake, MN 56633
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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 BAND OF OJIBWE
Substance Abuse Rehabilitation Facility
115 SIXTH STREET NORTHWEST, 6905 161ST STREET
CASS LAKE, MN 56633
Cass County (218) 335-8303

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 1679781116. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Leech Lake Band Of Ojibwe located?

Leech Lake Band Of Ojibwe is located at 115 Sixth Street Northwest Suite E, Cass Lake, MN 56633. The listed phone number is (218) 335-8308.

What is Leech Lake Band Of Ojibwe's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Leech Lake Band Of Ojibwe 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.