CASS LAKE INDIAN HOSPITAL (NPI# 1871718213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871718213 |
| Entity Type | Organization |
| Organization Name | CASS LAKE INDIAN HOSPITAL |
| Practice Address |
425 7th St Nw Cass Lake MN 56633-3360 |
| Mailing Address |
45587 Us 71 Laporte MN 56461-4900 |
| Practice Telephone | 2183353200 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TAWNYA MARIE JENSEN (MLT) |
| Authorized Official Telephone | 2183353200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
425 7TH ST NW |
| City | CASS LAKE |
| State | MN |
| Zip Code | 56633-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437133543 | Matei Teodorescu | Pediatrics | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2005-12-01 |
| 1063039642 | Barbara Lynn Naastad | Dental Hygienist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2020-06-30 |
| 1811527229 | Mai Lee Moua | Pharmacist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2020-01-24 |
| 1205369261 | Jessica Theisen | Pharmacist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2017-04-06 |
| 1578995957 | Rachel Washburn | Pharmacist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2013-08-07 |
| 1962742627 | Cassandra Jean Lappegaard | Optometrist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2013-02-18 |
| 1518201110 | Nokomis Paiz | Counselor | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2012-11-20 |
| 1639432396 | Alissa Massie | Physical Therapist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2012-06-19 |
| 1316252497 | Joshua Michael Nelson | Pharmacist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2010-08-12 |
| 1972817013 | Russell Devolder | Pharmacist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2010-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485430 | Jessica Rose Malterud | Registered Nurse | 416-2nd Street Nw, Cass Lake, MN 56633 | 2019-09-10 |
| 1174079917 | Stacy Ann Cederstrom | Nurse Practitioner | 425 7th Street North East, Cass Lake, MN 56633 | 2016-08-31 |
| 1679933568 | Minnesota Chippewa Tribe Adult Day Services | Clinic/Center | 15546 State 371 Nw, Cass Lake, MN 56633 | 2016-03-04 |
| 1073979084 | Constance J Mangiamele | Registered Nurse | 190 Sailstar Dr. Nw, Cass Lake, MN 56633 | 2016-01-06 |
| 1194193086 | Whitney Dickson | Pharmacist | 425 7th Street Northwest, Cass Lake, MN 56633 | 2015-09-09 |
| 1245669332 | Marsha Ellen Kaehne | Nurse Practitioner | 119 Aspen Ave., Cass Lake, MN 56633 | 2013-11-08 |
| 1376985952 | Home Free Care, LLC | Home Health | 310 Norway Ave. Ne, Cass Lake, MN 56633 | 2013-07-23 |
| 1831468479 | Leech Lake Band of Ojibwe | Substance Abuse Rehabilitation Facility | 113 7th Stree Nw, Cass Lake, MN 56633 | 2011-12-28 |
| 1275823742 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 16123 Grant Utley Ave Nw, Cass Lake, MN 56633 | 2011-04-18 |
| 1659679843 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 115 6th Street Nw, Cass Lake, MN 56633 | 2011-03-11 |
| Find all providers in zip 56633 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890779 | Zepto Life Technology LLC. | Technician, Pathology | 1000 Westgate Dr # 2000, Saint Paul, MN 55114-8612 | 2020-10-29 |
| 1720616741 | Valley Medical Laboratory, LLC | Technician, Pathology | 2438 E 117th St, Burnsville, MN 55337-1281 | 2020-03-27 |
| 1982223566 | Valley Pain Relief and Wellness Center, Pllc | Technician, Pathology | 2438 E 117th St, Burnsville, MN 55337-1281 | 2020-04-13 |
Please comment or provide details below to improve the information on CASS LAKE INDIAN HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.