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Leech Lake Opiate Treatment Program

NPI 1578627451ActiveOrganization· Preferred Provider Organization· Cass Lake, MN

Preferred Provider Organization in Cass Lake, Minnesota, registered in NPPES in December 2006. The authorized official on file is Earlene Buffalo, Program Manager.

Overview

NPI1578627451
StatusActive
Entity typeOrganization
NPI issuedDec 21, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Cass Lake

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