Little Traverse Bay Bands Of Odawa Indians in Petoskey - Federally Qualified Health Center (fqhc)
Little Traverse Bay Bands Of Odawa Indians - NPI 1124052816
Little Traverse Bay Bands Of Odawa Indians is a Federally Qualified Health Center (fqhc) in Petoskey, Michigan. Little Traverse Bay Bands Of Odawa Indians practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Little Traverse Bay Bands Of Odawa Indians is 1124052816. The last update date is 2015-01-29.
Little Traverse Bay Bands Of Odawa Indians's current location address is 1250 Lears Rd., Petoskey, Michigan. You can contact this provider via phone number 2312421700 and fax number 2312421717. The mailing address for Little Traverse Bay Bands Of Odawa Indians is 1250 Lears Rd., Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Little Traverse Bay Bands Of Odawa Indians |
|---|---|
| Address | 1250 Lears Rd., Petoskey, Michigan |
| Phone Number | 2312421700 |
| Fax Number | 2312421717 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Samuels Terry |
| Credentials | M.D. |
| Telephone Number | 2312421700 |
NPI Number Detail
| NPI Number | 1124052816 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2015-01-29 |
Provider Mailing Address Detail
| Address | 1250 Lears Rd. |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497708774 |
| Phone Number | 2312421700 |
| Fax Number | 2312421717 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Little Traverse Bay Bands Of Odawa Indians by the Centers for Medicare & Medicaid Services?
The Little Traverse Bay Bands Of Odawa Indians has been assigned the NPI (National Provider Identifier) 1124052816 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Little Traverse Bay Bands Of Odawa Indians is physically located?
The Little Traverse Bay Bands Of Odawa Indians is situated at the following address: 1250 Lears Rd., Petoskey, MI 497708774.
What is Little Traverse Bay Bands Of Odawa Indians's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Little Traverse Bay Bands Of Odawa Indians is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124052816 to Little Traverse Bay Bands Of Odawa Indians?
The Little Traverse Bay Bands Of Odawa Indians received its 1124052816 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information regarding Little Traverse Bay Bands Of Odawa Indians, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Little Traverse Bay Bands Of Odawa Indians, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-01-29.
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