Leech Lake Opiate Treatment Program
Leech Lake Opiate Treatment Program is a healthcare organization registered as Preferred Provider Organization in Cass Lake, MN, holding Type 2 (organization) NPI 1578627451 since 2006. The authorized official on file is Earlene Buffalo, Program Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578627451 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Leech Lake Opiate Treatment Program |
| Practice address | 110 BALSAM AVE. NW, Cass Lake, MN, 56633 |
| Phone | 2183354514 |
| Fax | 2183354580 |
| Enumeration date | 2006-12-21 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Earlene Buffalo |
|---|---|
| Title | Program Manager |
| Phone | 2183358304 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | Primary | — | — |
Copy-ready billing details
Provider: Leech Lake Opiate Treatment Program NPI: 1578627451 Taxonomy: 305R00000X (Preferred Provider Organization) Address: 110 BALSAM AVE. NW, Cass Lake, MN, 56633
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053478164 | Leech Lake Opiate Treatment Program | Organization | Preferred Provider Organization | Cass Lake, MN |
Verify this record
Cross-check NPI 1578627451 against the authoritative CMS record: view Leech Lake Opiate Treatment Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Leech Lake Opiate Treatment Program?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.