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LEECH LAKE BAND OF OJIBWE
NPI 1962610824
Substance Abuse Rehabilitation Facility in Cass Lake, MN

Active since May 21, 2007
115 SIXTH STREET NORTHWEST, 6905 161ST STREET, CASS LAKE, MN 56633(218) 335-8303(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 1962610824) is a healthcare organization registered as a substance abuse rehabilitation facility 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

NPI1962610824
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLEECH LAKE BAND OF OJIBWE
Location Address115 SIXTH STREET NORTHWEST, 6905 161ST STREETCass Lake, MN 56633
Mailing Address115 Sixth Street NorthwestCass Lake, MN 56633 · (218) 335-8303
Phone(218) 335-8303
Fax(218) 335-8307
Organization SubpartNo
Authorized OfficialGeorge GoggleyeChairman · (218) 335-8200
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962610824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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 (Substance Abuse Treatment, Children)
115 SIXTH STREET NORTHWEST, SUITE E
CASS LAKE, MN 56633
Cass County (218) 335-8308

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 1962610824. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Leech Lake Band Of Ojibwe located?

Leech Lake Band Of Ojibwe is located at 115 Sixth Street Northwest 6905 161st Street, Cass Lake, MN 56633. The listed phone number is (218) 335-8303.

What is Leech Lake Band Of Ojibwe's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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.