| Tribal Health/non-ihs | |
|
115 6th St Ne Suite E Cass Lake MN 56633-3428 | |
| (218) 335-4500 | |
| (218) 335-4513 |
| Full Name | Tribal Health/non-ihs |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 115 6th St Ne, Cass Lake, Minnesota |
| Authorized Official Name and Position | Joel Bebeau (INTERIM HEALTH DIRECTOR) |
| Authorized Official Contact | 2183354500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribal Health/non-ihs 115 6th St Ne Suite E Cass Lake MN 56633-3428 Ph: (218) 335-4500 | Tribal Health/non-ihs 115 6th St Ne Suite E Cass Lake MN 56633-3428 Ph: (218) 335-4500 |
| NPI Number | 1639368863 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639368863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Department Of Human Services &phs, Ihs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 | |
Leech Lake Adolescent Outpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 2nd St, Cass Lake, MN 56633 Phone: 218-335-8382 Fax: 218-335-3580 | |
Bamenim Anishinabe, Tribal Court Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 6th St Nw Ste E, Cass Lake, MN 56633 Phone: 218-335-4446 Fax: 218-335-3685 | |
Sanford Bemidji Cass Lake Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Grant Utley Avenue Nw, Cass Lake, MN 56633 Phone: 218-335-2559 Fax: 218-335-2755 | |
Leech Lake Tribal Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 6th St Ne, Cass Lake, MN 56633 Phone: 218-335-4500 Fax: 218-335-4547 |