Leech Lake Opiate Treatment Program in Cass Lake - Preferred Provider Organization
Leech Lake Opiate Treatment Program - NPI 1053478164
Leech Lake Opiate Treatment Program is a Preferred Provider Organization in Cass Lake, Minnesota. Leech Lake Opiate Treatment Program practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Leech Lake Opiate Treatment Program is 1053478164. The last update date is 2020-08-22.
Leech Lake Opiate Treatment Program's current location address is 115 6th St Ne, Cass Lake, Minnesota. You can contact this provider via phone number 2183354514 and fax number 2183354580. The mailing address for Leech Lake Opiate Treatment Program is 115 6th St Ne, Cass Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leech Lake Opiate Treatment Program |
|---|---|
| Address | 115 6th St Ne, Cass Lake, Minnesota |
| Phone Number | 2183354514 |
| Fax Number | 2183354580 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Buffalo Earlene |
| Telephone Number | 2183358304 |
NPI Number Detail
| NPI Number | 1053478164 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 115 6th St Ne |
|---|---|
| City | Cass Lake |
| State | Minnesota (MN) |
| Post Code | 566333428 |
| Phone Number | 2183354514 |
| Fax Number | 2183354580 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
|
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leech Lake Opiate Treatment Program by the Centers for Medicare & Medicaid Services?
The Leech Lake Opiate Treatment Program has been issued the NPI (National Provider Identifier) 1053478164 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Leech Lake Opiate Treatment Program is physically located?
The Leech Lake Opiate Treatment Program is situated at the following address: 115 6Th St Ne, Cass Lake, MN 566333428.
What is Leech Lake Opiate Treatment Program's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leech Lake Opiate Treatment Program's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
When did Leech Lake Opiate Treatment Program receive its 1053478164 assignment?
The Leech Lake Opiate Treatment Program was assigned its 1053478164 on 2007-01-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Leech Lake Opiate Treatment Program most recently updated or revised?
The information pertaining to Leech Lake Opiate Treatment Program, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1306849500
Address: 1009 North State Of Franklin Access Road, Johnson City, TN
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN