OrganizationActive

Leech Lake Opiate Treatment Program

Preferred Provider Organization

EARLENE BUFFALO

NPI: 1053478164Cass Lake, Minnesota, 56633(218) 335-4514

About Leech Lake Opiate Treatment Program

Leech Lake Opiate Treatment Program is a healthcare organization providing Preferred Provider Organization services, registered under National Provider Identifier (NPI) number 1053478164. The authorized official for Leech Lake Opiate Treatment Program is EARLENE BUFFALO.

The organization is headquartered at 110 BALSAM AVE. NW, Cass Lake, Minnesota 56633. The main office can be reached at (218) 335-4514. Leech Lake Opiate Treatment Program has been NPI-registered since 2007.

Locations & Contact

Primary Location

Address: 110 BALSAM AVE. NW
City: Cass Lake
State: Minnesota
ZIP: 56633
Phone: (218) 335-4514
Fax: (218) 335-4580

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Authorized Official

Name: EARLENE BUFFALO

Mailing Address

Address: 115 6TH ST NE
City: CASS LAKE
State: MN
ZIP: 566333428

NPI Registration

Enumeration Date: Jan 2, 2007
Last Updated: Aug 22, 2020
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty: Preferred Provider Organization
Classification: Preferred Provider Organization
Taxonomy Code: 305R00000X

Medicare Enrollment

Medicare Enrolled: No
Can Order/Refer: No
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Leech Lake Opiate Treatment Program's NPI number?

Leech Lake Opiate Treatment Program's National Provider Identifier (NPI) is 1053478164. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Leech Lake Opiate Treatment Program specialize in?

Leech Lake Opiate Treatment Program specializes in Preferred Provider Organization.

Where is Leech Lake Opiate Treatment Program located?

Leech Lake Opiate Treatment Program practices at 110 BALSAM AVE. NW, Cass Lake, Minnesota 56633. You can reach them by phone at (218) 335-4514.

Does Leech Lake Opiate Treatment Program accept Medicare?

Based on available data, Leech Lake Opiate Treatment Program is not currently enrolled in the Medicare program.

Does Leech Lake Opiate Treatment Program offer telehealth or virtual visits?

Leech Lake Opiate Treatment Program does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Leech Lake Opiate Treatment Program holds NPI 1053478164, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.