1. Home
  2. Directory
  3. Minnesota
  4. Cass Lake
  5. Clinic Center
  6. NPI Profile

LEECH LAKE TRIBAL COUNCIL
NPI 1942310875
Clinic/Center - Federally Qualified Health Center (FQHC) in Cass Lake, MN

Active since August 30, 2006
115 6TH ST NE, CASS LAKE, MN 56633(218) 335-4500(218) 335-4547 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leech Lake Tribal Council NPPES

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

LEECH LAKE TRIBAL COUNCIL (NPI 1942310875) is a healthcare organization registered as a federally qualified health center (fqhc) in Cass Lake, Minnesota and active in the NPI registry since August 2006. The organization lists Joel D Bebeau, Health Director, as its authorized official.

NPPES Registry Identity

NPI1942310875
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEECH LAKE TRIBAL COUNCIL
Location Address115 6TH ST NECass Lake, MN 56633-3428
Mailing Address115 6th St NeCass Lake, MN 56633-3428 · (218) 335-4500 · Fax (218) 335-4547
Phone(218) 335-4500
Fax(218) 335-4547
Organization SubpartNo
Authorized OfficialJoel D BebeauHealth Director · (218) 335-4500
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 30, 2010
✔ NPI 1942310875 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
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN241818MN
Medicaid640717000MN

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
115 6TH ST NE
CASS LAKE, MN 56633
Cass County (218) 335-4557
MS. BIRDENA M LYONS LPN
Licensed Practical Nurse
115 6TH ST NE
CASS LAKE, MN 56633
Cass County (218) 335-8315
MS. BERNADETTE MARIE GOTCHIE RN, BSN,PHN,DON
Registered Nurse
115 6TH ST NE
CASS LAKE, MN 56633
Cass County (218) 335-4500
MILLICENT A SIMENSON LPN
Licensed Practical Nurse
115 6TH ST NE
CASS LAKE, MN 56633
Cass County (218) 335-4500
MRS. CYNTHIA ANN DOKE RN
Registered Nurse (Diabetes Educator)
115 6TH ST NE
CASS LAKE, MN 56633
Cass County (218) 335-4587
MS. GLORIA KATHLEEN JONES REGISTERED NURSE
Registered Nurse
115 6TH ST NE
CASS LAKE, MN 56633
Cass County (218) 335-4500
JENNIFER LEE PARKHURST REGISTERED NURSE
Registered Nurse
115 6TH ST NE
CASS LAKE, MN 56633
Cass County (218) 335-8315

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 Tribal Council's NPI number?

The NPI number for Leech Lake Tribal Council is 1942310875. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Leech Lake Tribal Council located?

Leech Lake Tribal Council is located at 115 6th St NE, Cass Lake, MN 56633. The listed phone number is (218) 335-4500.

What is Leech Lake Tribal Council's specialty?

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

When was this NPI record last updated?

The NPPES record for Leech Lake Tribal Council was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.