Unknown Individual – Family Medicine Physician, NPI 1679529366

Unknown Individual is a healthcare provider. based in Cass lake, Minnesota. specializing in Family Medicine Physician. They hold a License No. 39051 (MN). The NPI Number for Unknown Individual is 1679529366

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679529366
Phone
(218) 335-3200
Address
425 7TH ST NW
Deactivation Date
13 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Cass Lake Indian Health Services Hospital, 425, 7th Street Northwest, Cass Lake, Cass County, Minnesota, 56633, United States

    CASS LAKE, MN 566333360

    Phone: (218) 335-3200

    Fax: (218) 335-3227

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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 ·

Educational use only—not medical, billing, or legal advice.

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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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1679529366 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Cass Lake?
Unknown Individual currently maps to Cass Lake, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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