Leech Lake Band of Ojibwe
Organization Active NPI Community/Behavioral Health Agency · Bena, MN
NPI 1295029817 · NPPES record last updated May 31, 2011
Key facts
- NPI
- 1295029817
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 19439 (MN)
- Legal business name
- LEECH LAKE BAND OF OJIBWE
- Practice address
- 15353 Silver Eagle Dr NW
Bena, MN 56626-3675 - Phone
- (218) 665-3000
- NPI assigned
- May 31, 2011
- Organization subpart
- No
Authorized official
- Name
- Janey Blanchard
- Title
- Middle School Principal
- Phone
- (218) 665-3000
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Leech Lake Opiate Treatment Center
Locations
15353 Silver Eagle Dr NW
Bena, MN 56626
Phone (218) 665-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 19439 | MN | Yes |
Addresses
Primary practice location
15353 Silver Eagle Dr NW
Bena, MN 56626-3675
Mailing address
15353 Silver Eagle Dr NW
Bena, MN 56626-3675
Other names
- Bug O Nay Ge Shig School
Other providers in Bena, MN
All providers in Bena, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.