LEECH LAKE OPIATE TREATMENT PROGRAM – Preferred Provider Organization, NPI 1578627451
Preferred Provider Organization
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LEECH LAKE OPIATE TREATMENT PROGRAM
115, 6th Street Northwest, Riverside, West Fargo, Cass County, North Dakota, 58078, United States
SUITE E
CASS LAKE, MN 56633
Phone: (218) 335-4514
Fax: (218) 335-4580
Type: Mailing
110, Balsam Avenue Northwest, Cass Lake, Cass County, Minnesota, 56633, United States
CASS LAKE, MN 56633
Phone: (218) 335-4514
Fax: (218) 335-4580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56633)
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